Melissa Smith Braxton, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6772 Issued in FL

Practice address

2860 Highway 71
Suite a
Marianna, FL 32446-1867

Phone

(850) 573-1491

Fax

(850) 482-0015

NPI assigned

Jun 5, 2006

Last updated

May 7, 2014By the provider in NPPES

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Panhandle Therapy Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blountstown, FL
  • NPI 1457981888
  Medicare reassignment NPD
• Jackson-Calhoun Counseling Services, Inc

  • Community/Behavioral Health Agency
  • Marianna, FL
  • NPI 1871924787
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399420800000",
    "number": "1386683647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 HIGHWAY 71 STE A",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461893",
            "telephone_number": "850-573-1491",
            "fax_number": "850-482-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 HIGHWAY 71",
            "address_2": "SUITE A",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461867",
            "telephone_number": "850-573-1491",
            "fax_number": "850-482-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "MELISSA",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z009H",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "766568700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel E Bontrager, DC
• Reuben Bontrager, LMT.
• Doyle Lon Bosse, M.D.
• Jessica Bourcier, NP
• Heather Lee Bozeman, PHARM. D.
• Breakthru Counseling LLC
• Deloris Ann Brockner, RN, LMT
• Mary Ellen Broderick, PH.D.
• Brandrail Brown
• Brunner Surgical

• Mental Health Counselor in Marianna, FL
• Providers in Marianna, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.