Avery Marie Craddock, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704017258 Issued in VA

Practice address

4337 Cox Rd
Glen Allen, VA 23060-3359

Phone

(804) 277-9877

NPI assigned

Jun 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Tandem Mental Health Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Allen, VA
  • NPI 1669309217
  NPD (past)

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1174411797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 PATTERSON AVE APT 1",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262551",
            "telephone_number": "804-317-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603359",
            "telephone_number": "804-277-9877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "AVERY",
        "middle_name": "MARIE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704017258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Michalosky Couch, MD
• Carol Cousins
• Philamena Marie Cowan, O.T.R./L
• James Macleod Cox, M.D.
• Taylor Cox, LCSW
• Shelby Elizabeth Craig, M. ED., BCBA, LBA
• Stephen Crawford
• Fay Hannah Crawshaw, PA-C
• Stacy Elizabeth Creamer, M.S. CCC-SLP
• Justin Creech, PBSF

• Mental Health Counselor in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.