L.C. Braxton Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

L.C. BRAXTON COUNSELING, PLLC

Practice address

5700 Six Forks Rd Ste 202
Raleigh, NC 27609-8616

Phone

(919) 961-0334

Fax

(919) 882-1553

NPI assigned

Oct 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Camille Braxton, LPCNPI 1053606848

Title

Owner/Licensed Professional Counsel

Phone

(919) 961-0334

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Camille Braxton, M.ED, LPC, NCC

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1053606848
  NPD Authorized official
• Ashley L. Campbell, LMFTA

  • Marriage & Family Therapist
  • Raleigh, NC
  • NPI 1366104572
  NPD
• Arriana Harris

  • Mental Health Counselor
  • Raleigh, NC
  • NPI 1083283139
  NPD

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1790327278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 SIX FORKS RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098616",
            "telephone_number": "919-961-0334",
            "fax_number": "919-882-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 SIX FORKS RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276098616",
            "telephone_number": "919-961-0334",
            "fax_number": "919-882-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.C. BRAXTON COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "CAMILLE",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "919-961-0334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053606848",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "online system secured platform",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5700 Six Forks Rd Ste 202",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276098616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5700 Six Forks Rd Ste 202",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276098616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.