Active NPI
Craig Vincent Stevens
- Addiction (Substance Use Disorder) Counselor
- Palm Springs, FL
National Provider Identifier
1114562865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ADC-010912-2015
- Practice address
- 4020 Lake Worth Rd
Palm Springs, FL 33461-3918 - Phone
- (561) 444-3512
- NPI assigned
- Nov 15, 2019
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADC-010912-2015 | FL | Primary |
Addresses
Primary practice location
4020 Lake Worth Rd
Palm Springs, FL 33461-3918
Mailing address
4020 Lake Worth Rd
Palm Springs, FL 33461-3918
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ADC-010912-2015 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1114562865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 LAKE WORTH RD",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334613918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 LAKE WORTH RD",
"city": "PALM SPRINGS",
"state": "FL",
"postal_code": "334613918",
"telephone_number": "561-444-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "CRAIG",
"middle_name": "VINCENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-11-15",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "ADC-010912-2015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.