Roosevelt Broach
Mental Health Counselor · Dallas, TX
Roosevelt Broach is a mental health counselor with a practice address in Dallas, Texas, and NPI 1083280374, issued on May 27, 2021. Check the license (Texas 79180, as entered in NPPES) with the Texas board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Roosevelt Broach
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License number
- 79180 TX
Self-reported in NPPES; status is on the state search - Practice location
- 12959 Jupiter RD Ste 140, Dallas, TX 75238
- Phone
- (214) 221-0132
- Enumerated
- May 27, 2021
- Record last updated
- May 27, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest mental health counselor records → All 9,782 in Texas → Look up another NPI →
Also registered at 12959 Jupiter RD Ste 140
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Alicia Brigham, LPCMental Health Counselor1376020958
- Roslyn BroachProfessional Counselor1972228369
- Laura McDonaldProfessional Counselor1669005187
Verify Roosevelt Broach in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Texas board licenses this profession
Search for license 79180Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Roosevelt Broach among 9,782 mental health counselor records in Texas
Roosevelt Broach is one of 9,782 mental health counselor records with a practice address in Texas. 4% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2021, is newer than 44% of them.
- NPI issued2021 · 44% of these records are older, 49% newer
- In a Medicare fileNo · 4% of these records are
- In the CMS Doctors and Clinicians fileNo · 8% of these records are
- Record last updated2021 · 36% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
816 mental health counselor records list a practice address in Dallas
They are 816 of the 36,304 NPPES records with a practice address in Dallas, and 9,782 mental health counselor records in Texas. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 9,782 in Texas → Every provider in Dallas → Mental Health Counselor nationwide →
The 8 mental health counselor records with the nearest ZIP codes
- Sharon AguilarDallas, TX 752381407584956
- Alicia Brigham, LPCDallas, TX 752381376020958
- Lashunda Carter, LMSWDallas, TX 752381023738515
- Patricia Cherry, LPCDallas, TX 752381164151833
- Candace Coleman, LMSWDallas, TX 752381427773050
- Edith Hernandez Putt, LPCDallas, TX 752381508938663
- Karen Kinsella, LPC, LMFTDallas, TX 752381457638751
- David Laubach, LPCDallas, TX 752381134292865
Common questions
What is Roosevelt Broach's NPI number?
Roosevelt Broach's National Provider Identifier (NPI) is 1083280374, issued on May 27, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Roosevelt Broach located?
The NPPES record lists a practice address at 12959 Jupiter RD Ste 140, Dallas, TX, 75238. Phone: (214) 221-0132. Providers update this record themselves, so call before visiting.
How can I verify Roosevelt Broach's license?
NPPES lists Texas license number 79180, as entered by the provider. Search the Texas 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.