Debra Lynn Broderick, CDCA
Debra Lynn Broderick is a Addiction (Substance Use Disorder) Counselor provider (Counselor) practicing in Logan, OH, registered in the NPPES registry with NPI 1134613243 since 2018.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134613243 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Debra Lynn Broderick |
| Credential | CDCA |
| Sex | Female |
| Practice address | 30663 RED ROCK CT # 1, Logan, OH, 43138 |
| Phone | 7408881377 |
| Fax | 7408792970 |
| Enumeration date | 2018-06-21 |
| Last updated in NPPES | 2018-06-21 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | 164844 | OH |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0096642 | Medicaid | OH | — |
Copy-ready billing details
Provider: Debra Broderick, CDCA NPI: 1134613243 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 30663 RED ROCK CT # 1, Logan, OH, 43138
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053876623 | Brock Wolford | Individual | Addiction (Substance Use Disorder) Counselor | Logan, OH |
Verify this record
Cross-check NPI 1134613243 against the authoritative CMS record: view Debra Lynn Broderick on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-06-21.