NPPES file of Aug 9, 2026

Broderick Webster, LPC

Mental Health Counselor · Bolivar, TN

Broderick Webster, LPC is a mental health counselor with a practice address in Bolivar, Tennessee, and NPI 1124897996, issued on Dec 21, 2023. Check the license with the Tennessee board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1124897996
Name
Broderick Webster
Credential
LPC
Primary taxonomy
Mental Health Counselor 101YM0800X
Practice location
793 Tennessee St, Bolivar, TN 38008
Phone
(731) 228-9068
Enumerated
Dec 21, 2023
Record last updated
Jul 9, 2024
Fax
(901) 425-9773
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 793 Tennessee St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Peggy Clark, LMSWClinical Social Worker1356184006
  2. Avanti Cross-Brown, DNP, PMHNP, CARN-APPsychiatric/Mental Health Nurse Practitioner1144846767
  3. Tatyana Demato, MSWClinical Social Worker1144190315
  4. Diyana Fisher, DNP, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1992696942
  5. Susanna ReidClinical Social Worker1053281212
  6. Bruce Wilks, LADACAddiction (Substance Use Disorder) Counselor1376389882

Verify Broderick Webster in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Tennessee board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Tennessee license search

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2 mental health counselor records list a practice address in Bolivar

They are 2 of the 170 NPPES records with a practice address in Bolivar, and 4,698 mental health counselor records in Tennessee. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

Other mental health counselor records in Tennessee

  1. Nicolas AbdallahColumbia, TN1740429067
  2. Anisa AbdoshBristol, TN1679926802
  3. Ginger AbolinsNashville, TN1962163824
  4. Samantha Abplanalp, LPC-MHSPNashville, TN1306177290
  5. Ronald Abrams, M.ED.Chattanooga, TN1679696868
  6. Gabriela AbreuMorristown, TN1477337095
  7. Elizabeth Abruzzese, LCPCClarksville, TN1033734843
  8. Erin Accardi, M.S.Knoxville, TN1174334544
  9. Amy Achata, LPC-MHSPChattanooga, TN1346138054
  10. Nirva Ache, MSChattanooga, TN1619547882

Common questions

What is Broderick Webster, LPC's NPI number?

Broderick Webster, LPC's National Provider Identifier (NPI) is 1124897996, issued on Dec 21, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Broderick Webster, LPC located?

The NPPES record lists a practice address at 793 Tennessee St, Bolivar, TN, 38008. Phone: (731) 228-9068. Providers update this record themselves, so call before visiting.

How can I verify Broderick Webster, LPC's license?

Search the Tennessee board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.