Theresa Broo Counseling, LLC
NPI 1629945407ActiveOrganization· Counselor, Professional· Forked River, NJ
Counselor, Professional in Forked River, New Jersey, registered in NPPES in October 2025. The authorized official on file is Theresa Broo, LPC, Licensed Professional Counselor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629945407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 17, 2025 |
| Last updated in NPPES | Oct 17, 2025 |
| Certified by provider | Oct 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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