Active NPI
Courtney Craig
- Professional Counselor
- Great Bend, KS
National Provider Identifier
1114817368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 03914
- Practice address
- 5815 Broadway Ave
Great Bend, KS 67530-3197 - Phone
- (620) 792-2544
- Fax
- (620) 792-7052
- NPI assigned
- Jul 8, 2025
- Sex
- Unspecified or another gender identity
- 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 | 03914 | KS | Primary |
Addresses
Primary practice location
5815 Broadway Ave
Great Bend, KS 67530-3197
Mailing address
5815 Broadway Ave
Great Bend, KS 67530-3197
Phone (620) 792-2544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5815 Broadway Ave
Great Bend, KS 67530-3123
Phone (620) 792-2544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03914 | KS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Counseling and Consultation | Current | Accepting new patients |
Locations
5815 Broadway Ave
Great Bend, KS 67530
Phone (620) 792-2544
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Great Bend, KS
- NPI 1104862549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751932800000",
"number": "1114817368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5815 BROADWAY AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303197",
"telephone_number": "620-792-2544",
"fax_number": "620-792-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5815 BROADWAY AVE",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675303197",
"telephone_number": "620-792-2544",
"fax_number": "620-792-7052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-08",
"last_updated": "2025-07-08",
"certification_date": "2025-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "03914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.