Provider Demographics
NPI:1164306130
Name:BROOD, JOSH (LMHC)
Entity type:Individual
Prefix:
First Name:JOSH
Middle Name:
Last Name:BROOD
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 CHADWICK RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-8091
Mailing Address - Country:US
Mailing Address - Phone:641-494-9085
Mailing Address - Fax:
Practice Address - Street 1:4615 CHADWICK RD STE 2
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-8091
Practice Address - Country:US
Practice Address - Phone:641-494-9085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA120176101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health