COURTNEY BRAXTON (NPI# 1467988378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467988378 |
| Entity Type | Individual |
| Full Name | COURTNEY BRAXTON |
| Practice Address |
80 W Main St Mendham NJ 07945-1257 |
| Practice Telephone | 9735435656 |
| Practice Fax Number | 9735437502 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
80 W MAIN ST |
| City | MENDHAM |
| State | NJ |
| Zip Code | 07945-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093822264 | Daytop Village of Nj | Substance Abuse Rehabilitation Facility | 80 W Main St, Mendham, NJ 07945-1230 | 2006-08-24 |
| 1205496320 | Mary-elizabeth Eleanor Plutto | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2019-06-20 |
| 1427618966 | Laura Riley | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2019-06-17 |
| 1861991010 | Daytop Village of New Jersey, Inc. | Psychiatric Residential Treatment Facility | 80 W Main St, Mendham, NJ 07945-1257 | 2018-02-02 |
| 1497288930 | Christian Perez | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-04-11 |
| 1548709793 | Taylor Kayla Herring | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-02-21 |
| 1992244149 | Kelly Hennebry | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-02-21 |
| 1821446741 | Shannon Hill | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-06-01 |
| 1821450966 | Jacqueline Skutka | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-03-28 |
| 1043672801 | Sara Durham | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528386380 | Daniel Robert Amoruso | Internal Medicine | 8 Tempe Wick Rd Ste 300, Mendham, NJ 07945 | 2010-05-04 |
| 1114151321 | Dawn Marie Gangi | Dermatology | 6 E Main Street, Mendham, NJ 07945 | 2009-05-04 |
| 1366683856 | Mary Elizabeth Fennelly | Counselor | 80 W. Main Street, Mendham, NJ 07945 | 2009-03-13 |
| 1760652986 | Sahib H Brown Sr. | Counselor | 80 West Main St, Mendham, NJ 07945 | 2008-03-04 |
| 1265652416 | Clelia C Ilacqua | Dentist | 5 Cold Hill Rd, Suite 7, Mendham, NJ 07945 | 2007-04-30 |
| 1891915104 | Kelly Knapp | Counselor | 80 W Main Street, Mendham, NJ 07945 | 2007-04-27 |
| 1952431652 | Donald F Callahan | Dentist | 2 Knollwood Trail, Mendham, NJ 07945 | 2007-03-06 |
| 1245302207 | Marie Lalor Rozan | Dermatology | 41 Horizon Drive, Mendham, NJ 07945 | 2006-11-14 |
| 1245230804 | Charles A Shioleno | Specialist | 8 Tempe Wick Rd, Mendham, NJ 07945 | 2005-07-26 |
| 1124259643 | Noel Akers | Counselor | 80 West Main Street, Mendham, NJ 07945 | 2009-07-31 |
| Find all providers in zip 07945 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366683856 | Mary Elizabeth Fennelly | Counselor | 80 W. Main Street, Mendham, NJ 07945 | 2009-03-13 |
| 1760652986 | Sahib H Brown Sr. | Counselor | 80 West Main St, Mendham, NJ 07945 | 2008-03-04 |
| 1427618966 | Laura Riley | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2019-06-17 |
| 1497288930 | Christian Perez | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-04-11 |
| 1548709793 | Taylor Kayla Herring | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-02-21 |
| 1992244149 | Kelly Hennebry | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2017-02-21 |
| 1821450966 | Jacqueline Skutka | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-03-28 |
| 1043672801 | Sara Durham | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-03-22 |
| 1144682022 | Timothy Wever | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-03-22 |
| 1386005411 | Jalen Washington | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2016-03-17 |
| Find all providers in MENDHAM | ||||
Please comment or provide details below to improve the information on COURTNEY BRAXTON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.