Individual provider Active NPI

Linda G Craft, LISW

  • Professional Counselor
  • Liberty Township, OH
National Provider Identifier
1033547492
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.0003206-SUPV Issued in OH
Practice address
7185 Liberty Centre Dr
Suite D
Liberty Township, OH 45069-6586
Phone
(513) 504-9310
Fax
(513) 847-6365
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.0003206-SUPV OH Primary

Addresses

Primary practice location

7185 Liberty Centre Dr
Suite D
Liberty Township, OH 45069-6586

Mailing address

25101 Chagrin Blvd
Suite 100
Beachwood, OH 44122-5643
Phone (216) 831-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160513000972 OH Practitioner - Clinical Social Worker 5395034359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

6770 Cincinnati Dayton Rd
Suite 208
Liberty Township, OH 45044-9318
Phone (216) 468-5000

8806 Cincinnati Dayton Rd
West Chester, OH 45069-3135
Phone (513) 975-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.0003206-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Mar 29, 2016 Accepting new patients

Locations

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

6770 Cincinnati Dayton Rd
Ste 208
Liberty Township, OH 45044
Phone (513) 712-5146

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

7185 Liberty Centre Dr
Ste D
West Chester, OH 45069
Phone (513) 443-2506

8806 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 755-1777

Interoperability endpoints

  • Direct secure messaging: pbc.lindacraft@140097.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1033547492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25101 CHAGRIN BLVD",
            "address_2": "SUITE 100",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225643",
            "telephone_number": "216-831-6611",
            "fax_number": "216-456-8128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7185 LIBERTY CENTRE DR",
            "address_2": "SUITE D",
            "city": "LIBERTY TOWNSHIP",
            "state": "OH",
            "postal_code": "450696586",
            "telephone_number": "513-504-9310",
            "fax_number": "513-847-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "LINDA",
        "middle_name": "G",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0003206-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberty Township, OH

Sources for this page

Verify at the official NPI Registry.