Active NPI
Shannon Braxton, MS, LPCC
- Professional Counselor
- Akron, OH
National Provider Identifier
1457844128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E2001734
- Practice address
- 1235 E Waterloo Rd
Akron, OH 44306-3805 - Phone
- (234) 208-6838
- Fax
- (330) 548-3404
- NPI assigned
- Jun 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E2001734 | OH | Primary |
Addresses
Primary practice location
1235 E Waterloo Rd
Akron, OH 44306-3805
Mailing address
1235 E Waterloo Rd
Akron, OH 44306-3805
Phone (234) 208-6838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2001734 | OH | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paramount Behavioral Health | Past | Accepting new patients | |
| Pastoral Counseling Service of Summit Co Inc | Past | Accepting new patients | |
| Pastoral Counseling Service of Summit County | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tallmadge, OH
- NPI 1396262747
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1073925624
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1790819852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1457844128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 E WATERLOO RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443063805",
"telephone_number": "234-208-6838",
"fax_number": "330-548-3404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 E WATERLOO RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443063805",
"telephone_number": "234-208-6838",
"fax_number": "330-548-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAXTON",
"first_name": "SHANNON",
"credential": "MS, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-07",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E2001734",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.