Michael Braxton, LCSW,LCDC,MHPS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L15145 Issued in OR

Practice address

3712 Fieldfare Dr
Pflugerville, TX 78660-1774

Phone

(503) 984-2173

Fax

(503) 735-0912

NPI assigned

Apr 23, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

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 and National Provider Directory roles.

• Peoples Community Clinic Inc

  • Clinic/Center
  • Austin, TX
  • NPI 1598896391

  Community Health Worker

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  TX

  Medicare reassignment NPD
• Providing Justice LLC

  • Addiction (Substance Use Disorder) Counselor
  • Austin, TX
  • NPI 1013799055
  NPD Authorized official
• People'S Community Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Manor, TX
  • NPI 1083019905
  NPD

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1649537028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3712 FIELDFARE DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601774",
            "telephone_number": "503-984-2173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 FIELDFARE DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786601774",
            "telephone_number": "503-984-2173",
            "fax_number": "503-735-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "MICHAEL",
        "credential": "LCSW,LCDC,MHPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16044",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "TX",
            "license": "205-0124",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L15145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Boyles Kramer
• Anna Margaret Bracken, SLP
• Jacqueline Brackens, RPH
• Whitney Bradley, LMFT
• Bravo DME LLC
• Bethany Brazzell, LCSW
• Breakthrough Homes LLC
• Breath of Life Massage, LLC
• Emily Breedlove
• Andrea Bremer

• Clinical Social Worker in Pflugerville, TX
• Providers in Pflugerville, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.