Theresa L. Broo, LPC
NPI 1528253382ActiveIndividual· Counselor, Professional· Forked River, NJ
Counselor, Professional (LPC) in Forked River, New Jersey, licensed in NJ, with an NPI issued in September 2007. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1528253382 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | No |
| NPI issued | Sep 13, 2007 |
| Last updated in NPPES | Jun 9, 2022 |
| Certified by provider | Jun 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 37PC00127200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NJ) |
|---|
Education and affiliations
| Graduation year | 1988 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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