Benjamin Braaksma

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BENJAMIN BRAAKSMA

Practice address

1115 Bethel Rd
Columbus, OH 43220-2690

Phone

(206) 945-0648

Fax

(206) 834-6734

NPI assigned

May 28, 2020

Last updated

Sep 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin BraaksmaNPI 1487076493

Title

Owner

Phone

(206) 945-0648

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Benjamin Braaksma, LPCC

  • Mental Health Counselor
  • Hilliard, OH
  • NPI 1487076493
  NPD Authorized official

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1295358901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202690",
            "telephone_number": "206-945-0648",
            "fax_number": "206-834-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 BETHEL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432202690",
            "telephone_number": "206-945-0648",
            "fax_number": "206-834-6734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4860 Britton Farms Dr",
            "address_purpose": "LOCATION",
            "city": "Hilliard",
            "state": "OH",
            "postal_code": "430269092",
            "country_code": "US",
            "telephone_number": "206-945-0648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENJAMIN BRAAKSMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-28",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BRAAKSMA",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-945-0648"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "LH60891645",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "E.2303894",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Benham
• Dathe Z Benissan-Messan, M.D.
• Monica Benites-Easterly, BCBA
• Cinthia Benitez, LP
• Jodie Raine Benitez, PA-C
• Breanna Raquel Benjamin, DO
• David Benjamin, M.D.
• Deja Benjamin
• Eddie R Benjamin Jr., LPN
• Edwin Benjamin

• Mental Health Counselor in Columbus, OH
• Providers in Columbus, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.