SKYE BROADUS-THOMAS – Counselor, NPI 1679994057

SKYE BROADUS-THOMAS is a healthcare provider. based in Hugo, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 112661 (TX). The NPI Number for SKYE BROADUS-THOMAS is 1679994057

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
SKYE BROADUS-THOMAS
NPI
1679994057
Phone
Not provided
Address
PO BOX 831
Enumeration Date
2 January 2014
Last Update Date
13 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5803269475
Graduation Year
2013 (13 years ago)
PAC ID
5991126823
Group Practice PAC ID
7810258951
Professional Enrollment ID
I20200602001523
Address ID
OK747434005HU100XXSTXX400

Contacts

Other Endpoint
rrcounseling@yahoo.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:12State licenses:2Other names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for SKYE BROADUS-THOMAS

  • PO BOX 831

    HUGO, OK 747430831

    Phone:

    Type: Mailing

  • 100 N 5TH ST

    HUGO, OK 747434005

    Phone: (580) 326-9475

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200602001523IClinical Social WorkerOKTBD
I20240727000497IClinical Social WorkerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74743)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810258951View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Clinical Social WorkerOK
Mental Health CounselorOK

Reviews

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Frequently asked questions

Does SKYE BROADUS-THOMAS share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SKYE BROADUS-THOMAS uses 1679994057.
Does CMS list SKYE BROADUS-THOMAS as active?
Yes — SKYE BROADUS-THOMAS is active in the NPI listing used on this page.
What is SKYE BROADUS-THOMAS's specialty?
The listing groups SKYE BROADUS-THOMAS with Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect SKYE BROADUS-THOMAS on a map?
Expect Hugo, Oklahoma as a primary anchor for SKYE BROADUS-THOMAS unless the record lists multiple sites.
Is the information about SKYE BROADUS-THOMAS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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