WENDY DAWN BROADSTREET
NPI 1962205062
Counselor - Mental Health in Clemmons, NC

Q: What is Wendy Broadstreet's NPI number?

The NPI number for Wendy Broadstreet is 1962205062. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Q: What is Wendy Broadstreet's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Wendy Broadstreet was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 01, 2025

6621 SPRINGFIELD VILLAGE LN, CLEMMONS, NC 27012(336) 703-7921 Get Directions Write a Review

NPPES record last updated: February 14, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Wendy Dawn Broadstreet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WENDY DAWN BROADSTREET (NPI 1962205062) is an individual mental health provider in Clemmons, North Carolina, licensed in North Carolina (A22536) and active in the NPI registry since April 2025. She maintains a secondary practice location in Davidson.

NPPES Registry Identity

NPI1962205062

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameWENDY DAWN BROADSTREET

Location Address6621 SPRINGFIELD VILLAGE LNClemmons, NC 27012-8996

Mailing Address6621 Springfield Village LnClemmons, NC 27012-8996 · (336) 703-7921

Phone(336) 703-7921

Sole ProprietorNo

Enumeration DateApril 1, 2025

Last NPPES UpdateFebruary 14, 2026

NPPES CertifiedFebruary 14, 2026

✔ NPI 1962205062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · A22536

6621 SPRINGFIELD VILLAGE LN, Clemmons, NC 27012

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Secondary Practice Location 1

Location 1903 Northeast DrDavidson, NC 28036-7416 · Phone (704) 889-9804 · Fax (980) 495-8857

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wendy Broadstreet's NPI number?

The NPI number for Wendy Broadstreet is 1962205062. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Wendy Broadstreet located?

Wendy Broadstreet practices at 6621 Springfield Village Ln, Clemmons, NC 27012. The listed phone number is (336) 703-7921.

What is Wendy Broadstreet's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Wendy Broadstreet accept?

Health plans from Blue Cross and Blue Shield of NC list Wendy Broadstreet as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wendy Broadstreet was last updated on February 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.