P Praxis·MD
● Active Type 1 · Individual

Roosevelt Broach

Counselor·Dallas, TX· NPI 1083280374 · Enumerated 2021 · 4 years on NPI
Broach is 1 of 901 counselor providers in Dallas and 1 of 11396 in Texas.
NPI age
4 years
Enumerated 2021-05-27
Primary specialty
Counselor
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-05-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 11396 active counselor providers in Texas.

NPI age
4 years
≈ at median (4 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-05Enumerated in NPPES
2021 2026

Where they practice

Practice location
12959 Jupiter Rd Ste 140
Dallas, TX 752383200
📞 2142210132
Mailing address
502 Point Royal Dr
Rockwall, TX 750878721
📞 4696882803

Specialties

  • Counselor Primary
    Definition to come...
    TX license #79180 taxonomy 101YM0800X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

Recently enumerated nearby: 42 new counselor providers have been added in Dallas in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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