IndividualActive
Jimmy Broderick, MS, LMHC
NPI 1962070136 · Professional Counselor · Winder, GA
Jimmy Broderick, MS, LMHC is a Professional Counselor provider in Winder, GA (NPI 1962070136).
Provider details
- NPI number
- 1962070136
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- MS, LMHC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 19022 (FL)
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
498 Valley View Dr
Winder, GA 30680-1421
Phone: (386) 855-5444
Street-level locationGet directions
Mailing address
498 Valley View Dr
Winder, GA 30680-1421
Registry dates
- Enumerated
- 2021-06-15
- Last updated
- 2021-06-15
- Certified
- 2021-06-10
Frequently asked questions
- What is Jimmy Broderick's NPI number?
- Jimmy Broderick's National Provider Identifier (NPI) is 1962070136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Broderick's specialty?
- Jimmy Broderick is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jimmy Broderick located?
- Jimmy Broderick's practice location on file with NPPES is 498 Valley View Dr, Winder, GA 30680-1421.
- What is Jimmy Broderick's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Broderick is (386) 855-5444.
- Is Jimmy Broderick's NPI active?
- Yes — Jimmy Broderick's NPI (1962070136) is active in the NPPES registry as of the last update on 2021-06-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.