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

Ashley Broom, LPC

Individual provider Behavior Technician · NPI 1225513260

Ashley Broom, LPC is a Behavior Technician in Rockford, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

1200 W State St
Rockford, IL 61102-2112
Phone: (815) 490-1600
Fax: (815) 490-1881
Show map & directions

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

Additional practice locations (1)

  • 3019 N Perryville Rd, Rockford, IL 61114-8016 — (815) 975-3330

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Behavior Technician Taxonomy 106S00000X · Licence 18-63145 (IL)
Counselor Taxonomy 101Y00000X

Record details

NPI number1225513260
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedSeptember 25, 2018
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address1200 W State St, Rockford, IL 61102-2112

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