Joanna R Brodersen, LPC is a
Counselor - Mental Health based in Pleasant Hope, Missouri. Joanna R Brodersen is licensed to practice in Missouri (license number 2021030516) and her current practice location is
1970 Highway Kk, Pleasant Hope, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 221-6655.
NPI number for Joanna R Brodersen is 1366011983 and her current mailing address is 1970 Highway Kk, Pleasant Hope, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366011983.
Healthcare Provider's Profile
| Full Name | Joanna R Brodersen |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 1970 Highway Kk, Pleasant Hope, Missouri |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366011983
- Provider Enumeration Date: 06/18/2021
- Last Update Date: 07/10/2026
Medical Identifiers
Medical identifiers for Joanna R Brodersen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366011983 | NPI | - | NPPES |
| 49009928 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 2021030516 (Missouri) | Secondary |
| 101YM0800X | Counselor - Mental Health | 2021030516 (Missouri) | Primary |
| 101YM0800X | Counselor - Mental Health | C8553 (Oregon) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joanna R Brodersen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Joanna R Brodersen, LPC 1970 Highway Kk, Pleasant Hope, MO 65725-8100 Ph: (417) 221-6655 | Joanna R Brodersen, LPC 1970 Highway Kk, Pleasant Hope, MO 65725-8100 Ph: (417) 221-6655 |
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