Active NPI
Brian Craig, THM, MABC, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1144403445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61525
- Practice address
- 11520 N Central Expy
Suite 120
Dallas, TX 75243-6605 - Phone
- (214) 417-5766
- NPI assigned
- Dec 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 61525 | TX | Primary |
Addresses
Primary practice location
11520 N Central Expy
Suite 120
Dallas, TX 75243-6605
Mailing address
11520 N Central Expy
Suite 120
Dallas, TX 75243-6605
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 |
|---|---|---|---|
| 61525 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1144403445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11520 N CENTRAL EXPY",
"address_2": "SUITE 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11520 N CENTRAL EXPY",
"address_2": "SUITE 120",
"city": "DALLAS",
"state": "TX",
"postal_code": "752436605",
"telephone_number": "214-417-5766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIG",
"first_name": "BRIAN",
"credential": "THM, MABC, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.