Donell Braxton Jr., CSAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0710102541 Issued in VA

Practice address

886 Charlotte Dr
Newport News, VA 23601-1000

Phone

(757) 223-0160

NPI assigned

May 22, 2012

Last updated

May 22, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1922368133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "886 CHARLOTTE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011000",
            "telephone_number": "757-223-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "886 CHARLOTTE DR",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011000",
            "telephone_number": "757-223-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAXTON",
        "first_name": "DONELL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CSAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brass Behavior Consultation LLC
• Tia Marie Brass, PBSF
• Michael Jordan Brassell, DPM
• Natalie M Brauchle, DPT
• Brave Within Counseling LLC
• Helen Braxton, LCSW
• Catherine A Bray, BSN, RN, CDE
• Derryn Bray, PT
• Monyae Bray
• Valerie Brazzale-Russell, LPC

• Addiction (Substance Use Disorder) Counselor in Newport News, VA
• Providers in Newport News, VA by specialty
• Addiction (Substance Use Disorder) Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.