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Roosevelt Broach
NPI 1083280374 · Mental Health Counselor · Dallas, TX
Roosevelt Broach is a Mental Health Counselor provider in Dallas, TX (NPI 1083280374).
Provider details
- NPI number
- 1083280374
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 79180 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12959 Jupiter Rd Ste 140
Dallas, TX 75238-3200
Phone: (214) 221-0132
Street-level locationGet directions
Mailing address
502 Point Royal Dr
Rockwall, TX 75087-8721
Registry dates
- Enumerated
- 2021-05-27
- Last updated
- 2021-05-27
- Certified
- 2021-05-27
Frequently asked questions
- What is Roosevelt Broach's NPI number?
- Roosevelt Broach's National Provider Identifier (NPI) is 1083280374, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roosevelt Broach's specialty?
- Roosevelt Broach is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Roosevelt Broach located?
- Roosevelt Broach's practice location on file with NPPES is 12959 Jupiter Rd Ste 140, Dallas, TX 75238-3200.
- What is Roosevelt Broach's phone number?
- The practice phone number listed in the NPPES registry for Roosevelt Broach is (214) 221-0132.
- Is Roosevelt Broach's NPI active?
- Yes — Roosevelt Broach's NPI (1083280374) is active in the NPPES registry as of the last update on 2021-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.