Individual provider Active NPI

Courtney Braxton, LSW, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Allentown, PA
National Provider Identifier
1467988378
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00315500 Issued in NJ
Practice address
5616 Wood LN
Allentown, PA 18106-9547
Phone
(862) 256-9954
NPI assigned
May 11, 2017
Last updated
Jan 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00315500 NJ Primary

Addresses

Primary practice location

5616 Wood LN
Allentown, PA 18106-9547

Mailing address

5616 Wood LN
Allentown, PA 18106-9547

Other practice location 1

972 Broad St Fl 6
Newark, NJ 07102-2518
Phone (973) 988-4962

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

LicenseStateTypeSpecialty
37LC00315500NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Harmony Wellness Center Corporation CurrentSince Oct 1, 2022 Accepting new patients
New Harmony Behavioral Health LLC Current Accepting new patients

Locations

972 Broad St
Fl 6
Newark, NJ 07102
Phone (973) 988-4962

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1467988378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 WOOD LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 WOOD LN",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069547",
            "telephone_number": "862-256-9954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "972 Broad St Fl 6",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071022518",
            "country_code": "US",
            "telephone_number": "973-988-4962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "COURTNEY",
        "credential": "LSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00315500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.