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JACQULYN BRAXTON
NPI 1285496604
Counselor - Mental Health in Northfield, IL

Active since January 30, 2024PECOS Enrolled
405 CENTRAL AVE, NORTHFIELD, IL 60093(847) 441-7968 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jacqulyn Braxton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQULYN BRAXTON (NPI 1285496604) is an individual mental health provider in Northfield, Illinois and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285496604
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQULYN BRAXTON
Location Address405 CENTRAL AVENorthfield, IL 60093-3006
Mailing Address405 Central AveNorthfield, IL 60093-3006 · (847) 441-7968
Phone(847) 441-7968
Sole ProprietorNo
Enumeration DateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1285496604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
405 CENTRAL AVE, Northfield, IL 60093
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqulyn Braxton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. LISA CRENSHAW B.S.W.
Social Worker
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
MRS. JUNE E. AIMEN M.S.
Counselor (Mental Health)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
MRS. JOAN E HERZBERG LCPC
Counselor
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
AVITAL PERES MHP
Case Manager/Care Coordinator
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
MR. MARC NATHAN PECHTER LCSW
Social Worker (Clinical)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
MISS NICOLE L PERELGUT L.P.C.
Counselor (Professional)
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
MS. MARJORIE THAY DANIELSON
Social Worker
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600
MARIANNE B BRENNAN
Social Worker
405 CENTRAL AVE
NORTHFIELD, IL 60093
Cook County (847) 441-5600

Frequently Asked Questions

What is Jacqulyn Braxton's NPI number?

The NPI number assigned to this healthcare provider is 1285496604, enumerated as an "individual" on January 30, 2024.

Where is the provider located?

The provider is located at 405 CENTRAL AVE NORTHFIELD, IL 60093 and the phone number is (847) 441-7968.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.