Braiden Nicole Green

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

9212 N Kelley Ave
Oklahoma City, OK 73131-2419

Phone

(405) 242-5070

NPI assigned

Dec 14, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Braiden Nicole Anderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Anchored Soul Counseling, LLC

  • Mental Health Counselor
  • Shawnee, OK
  • NPI 1861096489
  NPD Authorized official
• Advanced Therapy Associates, LLC

  • Community/Behavioral Health Agency
  • Oklahoma City, OK
  • NPI 1558506857
  NPD (past)
• Optum Behavioral Care of Virginia, Inc.

  • Psychologist
  • Oklahoma City, OK
  • NPI 1134992548
  NPD (past)

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1235504465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 N HARRISON ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748044022",
            "telephone_number": "405-765-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 N KELLEY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731312419",
            "telephone_number": "405-242-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "BRAIDEN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAIDEN",
            "last_name": "ANDERSON",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Elaine Greco, P.A.
• Green Country Rehabilitation
• Alicia Renee Green
• Ashley Green, RBT
• Audra Louise Green, PTA
• Brenda Kaylan Green, MS, RD/LD
• Brianna S Green
• Casey Green, M.S.W. U/S
• Chelsea Green, PA-C
• Christopher James Green, DPM

• Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.