Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710178199 Individual Practitioner Female Practitioner

Jill Erin Broderick , MA

Counselor • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Jill Broderick, MA is a registered healthcare professional specializing in Counselor in Jacksonville, FL. Practice services are available at 5776 SAINT AUGUSTINE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5776 Saint Augustine Rd

Jacksonville, FL 322078030

Telephone 9044484700
Associated Practice Facility / Clinic
🏢 Child Guidance Center, Inc. Facility NPI 1437171410

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
163 Specialists

Practicing in Jacksonville, FL (3441 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Amanda Callahan , LCSW

Social Worker - Clinical

NPI 1003106311

Licensed Clinical Social Worker

Sergio Perez

Counselor - Mental Health

NPI 1003300559
Terrica Stennis

Case Manager/Care Coordinator

NPI 1003761347
Rachel Block-Stewart , LMHC

Counselor - Mental Health

NPI 1013303965

Licensed Mental Health Counselor

Karen Romero Diaz Bautista

Counselor - Mental Health

NPI 1013689298
Vickie Freeman , MASTER LEVEL

Counselor - Mental Health

NPI 1053747964

MASTERLEVEL

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2007

Registered at 5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 322078030 (Tel: 9044484700)

📍
Updated Business Mailing Address August 09, 2007

Registered at 5776 SAINT AUGUSTINE RD, JACKSONVILLE, FL 322078030 (Tel: 9044484700)

👤
Provider Name / Credentials Updated August 09, 2007

Recorded as JILL BRODERICK, MA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2007

Counselor

🟢
Initial NPI Registration & Enumeration August 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710178199
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2007
Last Update: August 09, 2007
Sole Proprietor: No

Mailing Address

5776 Saint Augustine Rd

Jacksonville, FL 322078030

Phone: 9044484700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.