JACQULYN BRAXTON
NPI 1285496604
Counselor - Professional in Northfield, IL
About Jacqulyn Braxton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQULYN BRAXTON (NPI 1285496604) is an individual professional provider in Northfield, Illinois, licensed in Illinois (180018614) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqulyn Braxton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacqulyn Braxton's NPI number?
The NPI number for Jacqulyn Braxton is 1285496604. It was assigned to this individual provider in the NPPES registry on January 30, 2024.
Where is Jacqulyn Braxton located?
Jacqulyn Braxton practices at 405 Central Ave, Northfield, IL 60093. The listed phone number is (847) 441-7968.
What is Jacqulyn Braxton's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jacqulyn Braxton enrolled in Medicare?
Yes. Jacqulyn Braxton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Jacqulyn Braxton was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jacqulyn Braxton · NPI 1285496604
Professional provider in Northfield, Illinois. Individual provider, active in the CMS NPPES registry since January 30, 2024.
## Identity
- **NPI:** 1285496604 (Entity type: Individual)
- **Enumerated:** January 30, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180018614 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 CENTRAL AVE, Northfield, IL 60093-3006
- **Phone:** (847) 441-7968
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285496604) · Data from the CMS NPPES public registry.