Michelle Braaksma

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

257 Hopeland St BLDG a
Dayton, OH 45417-3420

Phone

(937) 535-5115

NPI assigned

Sep 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Onefifteen Care LLC

  dba OneFifteen

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1831961671
  NPD
• Nova Behavioral Health, Inc

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1548217748
  NPD (past)
• Nova Behavioral Health, Inc.

  • Substance Abuse Rehabilitation Facility
  • Dayton, OH
  • NPI 1164782017
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1962125880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 FRANLOU AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323117",
            "telephone_number": "937-537-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 HOPELAND ST BLDG A",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173420",
            "telephone_number": "937-535-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAKSMA",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boys to Men Transitional Home Inc.
• Mary Elizabeth Bozarth, RN
• Donisha Bozeman-Rufaro, LPN
• Shantae Louise Bozeman
• Vera F Bozeman
• Janet M Braciak, MSED, LPCC-S
• Heather Brackman, PHARMD
• Randall Scott Brackney, ATC/LAT
• Brad Enterprises, Inc. (Comfort Keepers #178)
• Fallon Bradford

• Addiction (Substance Use Disorder) Counselor in Dayton, OH
• Providers in Dayton, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.