NPPES file of Aug 9, 2026

Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC

Addiction (Substance Use Disorder) Counselor · Fayetteville, AR

Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC is an addiction (substance use disorder) counselor with a practice address in Fayetteville, Arkansas, and NPI 1427116581, issued on Dec 4, 2006. Check the license (Arkansas 333L, as entered in NPPES) with the Arkansas board that licenses this profession; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1427116581
Name
Jerriod Nicholas Broadnax
Credential
LADAC, NCAC-II, CFC
Primary taxonomy
Addiction (Substance Use Disorder) Counselor 101YA0400X
License numbers
333L AR
28533 IN
016701 VA
Self-reported in NPPES; status is on the state search
Practice location
509 E. Milsap Road, Fayetteville, AR 72703
Phone
(479) 879-7038
Enumerated
Dec 4, 2006
Record last updated
Aug 10, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(479) 340-0500
Medicare enrollment
Enrolled (PECOS I20250910002755); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Jerriod Nicholas Broadnax in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Arkansas board licenses this profession
    Search for license 333L
    Check 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 Arkansas license search

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Bills Medicare through 2 group practices

  1. Ketamine And IV Therapy Clinic OF Nwa LLCLowell, AR
  2. Pure Balance OF Nwa PLLCRogers, AR

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jerriod Nicholas Broadnax among 165 addiction (substance use disorder) counselor records in Arkansas

Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC is one of 165 addiction (substance use disorder) counselor records with a practice address in Arkansas. 1% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 0% of them.

  • NPI issued2006 · 0% of these records are older, 92% newer
  • In a Medicare fileYes · 1% of these records are
  • In the CMS Doctors and Clinicians fileYes · 2% of these records are
  • Record last updated2021 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YA0400X and a Arkansas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Addiction (Substance Use Disorder) Counselor providers in Arkansas

There are 165 addiction (substance use disorder) counselor records in Arkansas.

The 8 addiction (substance use disorder) counselor records with the nearest ZIP codes

  1. Kathy Coleman, MSFayetteville, AR 727031841561685
  2. Karen Howell Howell, LPCFayetteville, AR 727031376626424
  3. John Leimer, MS, CSACFayetteville, AR 727031962418095
  4. Scott MashburnFayetteville, AR 727031710564455
  5. Amanda Riddle, CADCFayetteville, AR 727031528358975
  6. Kenneth Davis, SACBentonville, AR 727121124384359
  7. Manda Davis, LADAC,BCCBentonville, AR 727121346679636
  8. Matthew Long, MABentonville, AR 727121366871642

Common questions

What is Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC's NPI number?

Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC's National Provider Identifier (NPI) is 1427116581, issued on Dec 4, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC located?

The NPPES record lists a practice address at 509 E. Milsap Road, Fayetteville, AR, 72703. Phone: (479) 879-7038. Providers update this record themselves, so call before visiting.

How can I verify Jerriod Nicholas Broadnax, LADAC, NCAC-II, CFC's license?

NPPES lists Arkansas license number 333L, as entered by the provider. Search the Arkansas 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. Medicare files from data.cms.gov. 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.