Active NPI
Deborah Ann Braboy, LAC
- Professional Counselor
- Fort Smith, AR
National Provider Identifier
1467477604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A0603021
- Practice address
- 3111 S 70TH St
Fort Smith, AR 72903-5017 - Phone
- (479) 452-6650
- Fax
- (479) 452-5847
- NPI assigned
- Jul 12, 2006
- 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 | A0603021 | AR | Primary |
Addresses
Primary practice location
3111 S 70TH St
Fort Smith, AR 72903-5017
Mailing address
3111 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 452-6650
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0603021 | AR | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467477604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 S 70TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035017",
"telephone_number": "479-452-6650",
"fax_number": "479-452-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 S 70TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035017",
"telephone_number": "479-452-6650",
"fax_number": "479-452-5847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRABOY",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "A0603021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
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.