MS. JOHANNA LYNNE BROUGHTON LICSW LADC NPI 1982621462

NPI Information

NPI: 1982621462
Provider Name: MS. JOHANNA LYNNE BROUGHTON, LICSW LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
30 MIRONA ROAD EXTENSION
SUITE 3
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 664-1010
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MS. Johanna Lynne Broughton, LICSW LADC is an addiction (substance use disorder) counselor in Portsmouth, NH. MS. Johanna Lynne Broughton, LICSW LADC NPI is 1982621462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30 MIRONA ROAD EXTENSION
SUITE 3
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 664-1010
Fax: (603) 766-3141

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	513	NEW HAMPSHIRE	Yes
2	104100000X	Social Worker		1006	NEW HAMPSHIRE	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	117879	OTHER		BHN
2	30423349	MEDICAID	NEW HAMPSHIRE
3	115858	OTHER		MMC PHO BHC P

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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