Active NPI
Scott B Craig, LPCC
- Professional Counselor
- Shakopee, MN
National Provider Identifier
1063222115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 04418
- Practice address
- 1455 Saint Francis Ave
Shakopee, MN 55379-3374 - Phone
- (952) 428-3000
- Fax
- (952) 428-3003
- NPI assigned
- Jan 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 04418 | MN | Primary |
Addresses
Primary practice location
1455 Saint Francis Ave
Shakopee, MN 55379-3374
Mailing address
500 Marschall Rd Ste 300
Shakopee, MN 55379-2690
Phone (952) 856-3932
Other practice location 1
1250 Lincoln St
Shakopee, MN 55379-0050
Phone (952) 448-6557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260320001938 | MN | Practitioner - Mental Health Counselor | 3274017918 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
43 Mr 10585
Minneapolis, MN 55440-0043
PO Box
Suite 43
Minneapolis, MN 55440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC04418 | MN | MD | Professional Counselor |
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": "1736467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1063222115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MARSCHALL RD STE 300",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553792690",
"telephone_number": "952-856-3932",
"fax_number": "952-448-6047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 SAINT FRANCIS AVE",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793374",
"telephone_number": "952-428-3000",
"fax_number": "952-428-3003"
}
],
"practiceLocations": [
{
"address_1": "1250 Lincoln St",
"address_purpose": "LOCATION",
"city": "Shakopee",
"state": "MN",
"postal_code": "553790050",
"country_code": "US",
"telephone_number": "952-448-6557",
"fax_number": "952-448-6047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRAIG",
"first_name": "SCOTT",
"middle_name": "B",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-10",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "04418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.