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BRAXTON MASSEY DUDLEY JR.
NPI 1962997304
Counselor - Mental Health in Boulder, CO

Active since June 27, 2018
1501 YARMOUTH AVE, BOULDER, CO 80304(303) 786-9314 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Braxton Massey Dudley Jr. NPPES

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

BRAXTON MASSEY DUDLEY JR. (NPI 1962997304) is an individual mental health provider in Boulder, Colorado and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1962997304
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRAXTON MASSEY DUDLEY JR.
Location Address1501 YARMOUTH AVEBoulder, CO 80304-0564
Mailing Address1742 Walnut St Apt 5Boulder, CO 80302-5530
Phone(303) 786-9314
Sole ProprietorNo
Enumeration DateJune 27, 2018
✔ NPI 1962997304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1501 YARMOUTH AVE, Boulder, CO 80304
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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.

JEREMY ELLIS
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314
MR. CHARLES MEERTS-BRANDSMA
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (203) 745-6825
KELLEY DAY LPC
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (610) 809-6016
MICHAEL LEVY
Counselor (Professional)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (203) 668-9791
JULIE BOHLER
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314
CHARLES KNAPP
Counselor (Professional)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314
CONNER HOLLINGSWORTH
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314
MS. ELLEN KNAPP MA, LPC, GCM
Counselor (Mental Health)
1501 YARMOUTH AVE
BOULDER, CO 80304
Boulder County (303) 786-9314

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 Braxton Dudley's NPI number?

The NPI number for Braxton Dudley is 1962997304. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Braxton Dudley located?

Braxton Dudley practices at 1501 Yarmouth Ave, Boulder, CO 80304. The listed phone number is (303) 786-9314.

What is Braxton Dudley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Braxton Dudley was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.