Active NPI
Braden Friedrich, LPC
- Professional Counselor
- Longview, TX
National Provider Identifier
1073028049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73359
- Practice address
- 950 N 4TH St
Longview, TX 75601-5436 - Phone
- (903) 619-3867
- NPI assigned
- Dec 12, 2017
- Last updated
- Dec 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | TX | ||
| Professional Counselor | 101YP2500X | 73359 | TX | Primary |
Addresses
Primary practice location
950 N 4TH St
Longview, TX 75601-5436
Mailing address
3212 Timberlane Dr
Tyler, TX 75701-6134
Phone (512) 948-5737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73359 | TX | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Healthcore
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longview, TX
- NPI 1639232002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1073028049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 TIMBERLANE DR",
"city": "TYLER",
"state": "TX",
"postal_code": "757016134",
"telephone_number": "512-948-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 N 4TH ST",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015436",
"telephone_number": "903-619-3867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDRICH",
"first_name": "BRADEN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longview, TX
- Kristel June Fredericks, MS, RD, LD
- Robert Allan Fredericks, HIS
- Belinda Jean Freeman, RNFA, RN
- Madison Elizabeth Freeman, PA-C
- Susan Michelle Freeman, LCSW
- Sierra Elizabeth Friend, AU.D.
- Frio Hospital District (Highland Pines Nursing Home)
- Frio Hospital District (The Oaks at Longview)
- Harry P Froeschke, MD
- Denise Frye, NUTRITIONIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.