Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Broom, LPC-IT

Individual provider Mental Health Counselor · NPI 1548121247

Amanda Broom, LPC-IT is a Mental Health Counselor in Juneau, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

199 County Road Df Fl 3
Juneau, WI 53039-9512
Phone: (920) 386-3500
Fax: (920) 386-4564
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 8260-226 (WI)

Record details

NPI number1548121247
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-IT
Sole proprietorNo
NPI enumeratedNovember 21, 2025
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address117 S Main St Apt 1, Oconomowoc, WI 53066-5220

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