Active NPI
Noelle Braddock, Licensed Professional Clinical Counselor, a Professional Corporation
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1306712062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NOELLE BRADDOCK, LICENSED PROFESSIONAL CLINICAL COUNSELOR, A PROFESSIONAL CORPORATION
- Doing business as
- Noelle Braddock Therapy
- Practice address
- 2914 SE Yamhill St
Portland, OR 97214-4041 - Phone
- (415) 252-4834
- NPI assigned
- Oct 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Noelle Braddock, MA, LMFT, LPCC
- Title
- Ceo
- Phone
- (415) 252-4834
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2914 SE Yamhill St
Portland, OR 97214-4041
Mailing address
248 3Rd St Unit 1214
Oakland, CA 94607-4375
Phone (415) 252-4834
Other names 1
- Noelle Braddock Therapy
National Provider Directory
National Provider DirectoryLocations
248 3rd St
Unit 1214
Oakland, CA 94607
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760054400000",
"number": "1306712062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 3RD ST UNIT 1214",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074375",
"telephone_number": "415-252-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2914 SE YAMHILL ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972144041",
"telephone_number": "415-252-4834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOELLE BRADDOCK, LICENSED PROFESSIONAL CLINICAL COUNSELOR, A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-10",
"last_updated": "2025-10-10",
"certification_date": "2025-10-10",
"status": "A",
"authorized_official_last_name": "BRADDOCK",
"authorized_official_first_name": "NOELLE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-252-4834",
"authorized_official_credential": "MA, LMFT, LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Noelle Braddock Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.