Rita Jean Brafford, LCSW, CADC-D

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6612-123 Issued in WI

Practice address

888 Thackeray TRL
105
Oconomowoc, WI 53066-4342

Phone

(262) 542-3255

Fax

(262) 567-5451

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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 WI

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

Interoperability endpoints

• Direct secure messaging: lifestancehealth.ritabrafford@149809.advancedmd-direct.com

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.

• Cornerstone Counseling Services, Inc

  dba LifeStance Health

  • Mental Health Counselor
  • Brookfield, WI
  • NPI 1033127246
  Medicare reassignment NPD
• Horizon Healthcare, Inc

  • Multi-Specialty Clinic/Center
  • Milwaukee, WI
  • NPI 1225052830

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1700992708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 CORPORATE CENTER DR",
            "address_2": "STE 100",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664883",
            "telephone_number": "262-542-3255",
            "fax_number": "262-567-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 THACKERAY TRL",
            "address_2": "105",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664342",
            "telephone_number": "262-542-3255",
            "fax_number": "262-567-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAFFORD",
        "first_name": "RITA",
        "middle_name": "JEAN",
        "credential": "LCSW, CADC-D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6612-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL & DRUG COUNSELOR",
            "identifier": "13350",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39788800",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Bock, PMHNP
• Christine Marie Bolyard
• Stephanie Lynn Bondioli, RPH
• Brenda L. Boschek, M.D.
• Sherri Bourdo
• Macie Brahm, OD
• Mary Jo Brennan
• Stephen Michael Brennan, MD
• Julius T. Breyer
• Brighter Futures Therapy LLC

• Mental Health Counselor in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.