Individual provider Active NPI

Lauri Renee Branam, MA, PCC-S, LSW

  • Professional Counselor
  • Cincinnati, OH
National Provider Identifier
1154599157
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0008208 Issued in OH
Practice address
4633 Aicholtz Rd
Cincinnati, OH 45244-1447
Phone
(513) 752-1555
Fax
(513) 688-8155
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Professional Counselor 101YP2500X E-0008208 OH Primary

Addresses

Primary practice location

4633 Aicholtz Rd
Cincinnati, OH 45244-1447

Mailing address

4629 Aicholtz Rd
Cincinnati, OH 45244-1551
Phone (513) 752-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
E-0008208OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Talbert House Past Accepting new patients
National Youth Advocate Program, Inc Past Accepting new patients
Talbert House Primary Care Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1154599157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 AICHOLTZ RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441551",
            "telephone_number": "513-752-1555",
            "fax_number": "513-688-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 AICHOLTZ RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452441447",
            "telephone_number": "513-752-1555",
            "fax_number": "513-688-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANAM",
        "first_name": "LAURI",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MA, PCC-S, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0008208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.