IndividualActive
Wendy Broadstreet
NPI 1962205062 · Mental Health Counselor · Clemmons, NC
Wendy Broadstreet is a Mental Health Counselor provider in Clemmons, NC (NPI 1962205062).
Provider details
- NPI number
- 1962205062
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- A22536 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
6621 Springfield Village Ln
Clemmons, NC 27012-8996
Phone: (336) 703-7921
Street-level locationGet directions
Mailing address
6621 Springfield Village Ln
Clemmons, NC 27012-8996
Additional practice locations (1)
- 903 Northeast DrDavidson, NC 28036-7416Phone: (704) 889-9804Fax: (980) 495-8857
Registry dates
- Enumerated
- 2025-04-01
- Last updated
- 2026-02-14
- Certified
- 2026-02-14
Frequently asked questions
- What is Wendy Broadstreet's NPI number?
- Wendy Broadstreet's National Provider Identifier (NPI) is 1962205062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wendy Broadstreet's specialty?
- Wendy Broadstreet is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Wendy Broadstreet located?
- Wendy Broadstreet's practice location on file with NPPES is 6621 Springfield Village Ln, Clemmons, NC 27012-8996.
- What is Wendy Broadstreet's phone number?
- The practice phone number listed in the NPPES registry for Wendy Broadstreet is (336) 703-7921.
- Is Wendy Broadstreet's NPI active?
- Yes — Wendy Broadstreet's NPI (1962205062) is active in the NPPES registry as of the last update on 2026-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.