Tanya Lynn Broesder , LPC
Counselor - Professional • Springfield, MO
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tanya Broesder has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Tanya Broesder, LPC was a registered Counselor - Professional practicing in Springfield, MO. Throughout an active medical career spanning 11 years, Tanya Broesder provided care at the practice location at 1300 E BRADFORD PKWY until profile deactivation on 2022-06-23.
Practice Location & Contact Primary Location
1300 E Bradford Pkwy
Springfield, MO 658044264
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Professional in Springfield, MO
Practicing in Springfield, MO (5929 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101YP2500X
Definition to come...
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Social Worker - Clinical
Master of Social Work, Licensed Clinical Social Worker
Social Worker - Clinical
Licensed Master Social Worker
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Counselor - Professional
Master of Science, Licensed Professional Counselor
Counselor - Professional
Master of Science, Licensed Professional Counselor
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 23, 2022
NPI status registered as active in NPPES database
Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)
Registered at 1300 E BRADFORD PKWY, SPRINGFIELD, MO 658044264 (Tel: 4177615000)
Recorded as TANYA BROESDER, LPC
Counselor (License #2007024739 in MO)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1300 E Bradford Pkwy
Springfield, MO 658044264
Phone: 4177615000
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