Organization Active NPI

Je Craig and Associates PC

  • Mental Health Counselor
  • Metamora, MI
National Provider Identifier
1083249478
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JE CRAIG AND ASSOCIATES PC
Practice address
3383 S Lapeer Rd
Metamora, MI 48455-8968
Phone
(810) 406-1660
Fax
(248) 970-0210
NPI assigned
Mar 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Jeannie Craig, LPCNPI 1114389194
Title
Owner
Phone
(810) 406-1660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3383 S Lapeer Rd
Metamora, MI 48455-8968

Mailing address

3383 S Lapeer Rd
Metamora, MI 48455-8968
Phone (810) 406-1660

Other identifiers 1

IdentifierTypeStateIssuer
6401017926OtherMILICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240917001582 MI Part B Supplier - Clinic/Group Practice 8729529847 Receives reassigned benefits from 1 practitioner
Practice locations: Metamora, MI

National Provider Directory

National Provider Directory

Locations

3383 S Lapeer Rd
Metamora, MI 48455
Phone (810) 406-1660

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1083249478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3383 S LAPEER RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558968",
            "telephone_number": "810-406-1660",
            "fax_number": "248-970-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3383 S LAPEER RD",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558968",
            "telephone_number": "810-406-1660",
            "fax_number": "248-970-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JE CRAIG AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-06",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-406-1660",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6401017926",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metamora, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.