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

Devon Broome

Individual provider Marriage & Family Therapist · NPI 1265189724

Devon Broome is a Marriage and Family Therapist in Coon Rapids, Minnesota. Qualified in 2018, 8 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2022
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Practice location Address checks out

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638
Phone: (763) 767-3350
Fax: (763) 767-0912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 3861 (MN)

Record details

NPI number1265189724
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address820 6th Ave Nw Apt 17, New Brighton, MN 55112-2744

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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