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Active NPI 1518168939 Individual Practitioner Female Practitioner

Premadonna Braddick , MA, LPC

Counselor • Tulsa, OK

Professional Overview & Biography Verified Profile Summary

Premadonna Braddick, MA, LPC is a registered healthcare professional specializing in Counselor in Tulsa, OK. Practice services are available at 5424 NORTH MADISON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5424 North Madison Ave

Tulsa, OK 74126

Telephone 9188921797

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
917 Specialists

Practicing in Tulsa, OK (4611 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 18, 2023

Registered at 5424 NORTH MADISON AVE, TULSA, OK 74126 (Tel: 9188921797)

📍
Updated Business Mailing Address July 18, 2023

Registered at 8086 S YALE AVE # 236, TULSA, OK 741369003 (Tel: 9188921797)

👤
Provider Name / Credentials Updated July 18, 2023

Recorded as PREMADONNA BRADDICK, MA, LPC

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 616 S BOSTON AVE, SUITE 400, TULSA, OK 741191208 (Tel: 9183827300)

📍
Updated Business Mailing Address July 08, 2007

Registered at 409 E APACHE ST, JENKS, OK 740374126 (Tel: 9185185575)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PREMADONNA CAMPBELL-BRADDICK, MA, LMFT.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration May 31, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1518168939
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2007
Last Update: July 18, 2023
Sole Proprietor: No

Mailing Address

8086 S Yale Ave # 236

Tulsa, OK 741369003

Phone: 9188921797

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.