Ms. Lola M Broomberg, LPC
Counselor, Professional in Eugene, Oregon
1336581404- Practice location
- 541 Willamette St Ste 207A, Eugene, OR 97401-2623
- Phone
- 541-686-8119
- Fax
- 541-686-3340
- Last updated
- April 24, 2019
Ms. Lola M Broomberg, LPC is a Counselor, Professional based in Eugene, OR. Ms. Lola M Broomberg, LPC holds the professional credentials of LPC. The NPI number for Ms. Lola M Broomberg, LPC is 1336581404 and holds license No. C3168 (OR). The current practice location address is 541 Willamette St Ste 207A, Eugene, OR 97401-2623 and the office can be reached by phone at 541-686-8119 and by fax at 541-686-3340. The NPI was assigned on July 18, 2013 and the record was last updated in NPPES on April 24, 2019.
●Provider Profile Details
- NPI Number
- 1336581404
- Provider Name
- Lola Madrone Broomberg
- Credential
- LPC
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Enumeration Date
- July 18, 2013
- Last Update Date
- April 24, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 541 Willamette St Ste 207A
Eugene, OR 97401-2623 - City
- Eugene
- State
- Oregon
- ZIP
- 97401-2623
- Country
- US
- Phone Number
- 541-686-8119
- Fax Number
- 541-686-3340
✉Business Mailing Address
- Address
- 541 Willamette St Ste 102
Eugene, OR 97401-2687 - City
- Eugene
- State
- OR
- ZIP
- 97401-2687
- Phone Number
- 541-341-3477
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor | 101Y00000X | No | C3168 | OR |
| Counselor, Mental Health | 101YM0800X | No | c3168 | OR |
| Counselor, Professional | 101YP2500X | Yes | c3168 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Eugene →?Frequently Asked Questions
What is the NPI number of Ms. Lola M Broomberg, LPC?
The NPI number of Ms. Lola M Broomberg, LPC is 1336581404. It was assigned on July 18, 2013 and is currently active in the NPPES registry.
What is the specialty of Ms. Lola M Broomberg, LPC?
Ms. Lola M Broomberg, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X) and holds license No. C3168 (OR).
Where does Ms. Lola M Broomberg, LPC practice?
The practice location is 541 Willamette St Ste 207A, Eugene, OR 97401-2623. The office can be reached at 541-686-8119 (phone) or 541-686-3340 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336581404 directly on the NPPES registry website at npiregistry.cms.hhs.gov.