Individual provider Active NPI

Randall Sean Craven, LPC, CAC II

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1174839427
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5687 Issued in CO
Practice address
12101 E 2ND Ave
Suite 203
Aurora, CO 80011-8327
Phone
(720) 331-4878
Fax
(303) 371-8250
NPI assigned
Aug 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 7094 CO
Professional Counselor 101YP2500X 5687 CO Primary

Addresses

Primary practice location

12101 E 2ND Ave
Suite 203
Aurora, CO 80011-8327

Mailing address

4395 Dunkirk Way
Denver, CO 80249-6543
Phone (720) 331-4878

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219003993 CO Practitioner - Mental Health Counselor 7315474988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12101 E 2ND Ave
Suite 201a
Aurora, CO 80011-8300
Phone (720) 331-4878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7094COMDAddiction (Substance Use Disorder) Counselor
5687COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Craven & Associates Counseling Inc Addiction (Substance Use Disorder) CurrentSince Oct 31, 2024 Accepting new patients
Craven & Associates Addiction (Substance Use Disorder) CurrentSince Jul 24, 2022 Accepting new patients

Locations

12101 E 2nd Ave
Ste 203
Aurora, CO 80011
Phone (720) 233-6765

12101 E 2nd Ave
Ste 201A
Aurora, CO 80011
Phone (720) 331-4878

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1174839427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 DUNKIRK WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496543",
            "telephone_number": "720-331-4878",
            "fax_number": "303-371-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 E 2ND AVE",
            "address_2": "SUITE 203",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118327",
            "telephone_number": "720-331-4878",
            "fax_number": "303-371-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "RANDALL",
        "middle_name": "SEAN",
        "name_prefix": "Mr.",
        "credential": "LPC, CAC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "7094",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.