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

Jennifer Rose Broyles, LPC-S, CM2, PTA

Individual provider Physical Therapy Assistant · NPI 1720351273

Jennifer Rose Broyles, LPC-S, CM2, PTA is a Mental Health Counselor in Poteau, Oklahoma. Qualified in 2016, 10 years ago. Practices with Quest Mhsa, an 18-clinician group and accepts Medicare assignment. Licensed in Arkansas and Oklahoma.

Years since qualifying
10
Licensed in
AR, OK
In the registry since
2012
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

900 Broadway Ste 1
Poteau, OK 74953
Phone: (918) 649-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence SUPERVISION (OK)
Physical Therapy Assistant Taxonomy 225200000X · Licence 1896 (AR)

Record details

NPI number1720351273
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-S , CM2 , PTA
Sole proprietorNo
NPI enumeratedFebruary 14, 2012
Last updated in NPPESJuly 11, 2016

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Quest Mhsa — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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