IndividualActive
Duane Broderick
NPI 1285921643 · Mental Health Counselor · Burley, ID
Duane Broderick is a Mental Health Counselor provider in Burley, ID (NPI 1285921643).
Provider details
- NPI number
- 1285921643
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LMSW3064 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
2311 Parke Ave., Ste. 8
Burley, ID 83350
Phone: (208) 878-3350
Fax: (208) 878-3351
Street-level locationGet directions
Mailing address
2311 Parke Ave., Ste. 8
Burley, ID 83350
Registry dates
- Enumerated
- 2011-07-06
- Last updated
- 2011-07-06
Frequently asked questions
- What is Duane Broderick's NPI number?
- Duane Broderick's National Provider Identifier (NPI) is 1285921643, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Duane Broderick's specialty?
- Duane Broderick is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Duane Broderick located?
- Duane Broderick's practice location on file with NPPES is 2311 Parke Ave., Ste. 8, Burley, ID 83350.
- What is Duane Broderick's phone number?
- The practice phone number listed in the NPPES registry for Duane Broderick is (208) 878-3350.
- Is Duane Broderick's NPI active?
- Yes — Duane Broderick's NPI (1285921643) is active in the NPPES registry as of the last update on 2011-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.