Organization Active NPI

Noelle Braddock, Licensed Professional Clinical Counselor, a Professional Corporation

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1306712062
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Oct 10, 2025

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

Authorized official

Name
Noelle Braddock, MA, LMFT, LPCCNPI 1508564055
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.