Individual provider Active NPI

Lorraine Simon Braden, LCSW, LMFT

  • Mental Health Counselor
  • Fort Worth, TX
National Provider Identifier
1346254513
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3648 LMFT Issued in TX
Practice address
3212 Collinsworth St
Suite 1
Fort Worth, TX 76107-6580
Phone
(817) 877-3707
Fax
(817) 810-9585
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12030 LCSW TX
Mental Health Counselor 101YM0800X 3648 LMFT TX Primary

Addresses

Primary practice location

3212 Collinsworth St
Suite 1
Fort Worth, TX 76107-6580

Mailing address

1228 Trinity Dr
Benbrook, TX 76126-4208
Phone (817) 249-2437

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
12030 LCSWTXMDMental Health Counselor
3648 LMFTTXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346254513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 TRINITY DR",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761264208",
            "telephone_number": "817-249-2437",
            "fax_number": "817-810-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 COLLINSWORTH ST",
            "address_2": "SUITE 1",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761076580",
            "telephone_number": "817-877-3707",
            "fax_number": "817-810-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "LORRAINE",
        "middle_name": "SIMON",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "12030 LCSW",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "3648 LMFT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.