Individual provider Active NPI

Craig Bruce Robison, LPC,LMFT

  • Professional Counselor
  • Oklahoma City, OK
National Provider Identifier
1184830119
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 118
Practice address
3035 NW 63Rd St
202
Oklahoma City, OK 73116-3632
Phone
(405) 747-6413
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 118 Primary
Marriage & Family Therapist 106H00000X LMFT 053 OK

Addresses

Primary practice location

3035 NW 63Rd St
202
Oklahoma City, OK 73116-3632

Mailing address

3035 NW 63Rd St
202
Oklahoma City, OK 73116-3632
Phone (405) 747-6413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240507000022 OK Practitioner - Mental Health Counselor 1759721814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 E 33Rd St
B1
Edmond, OK 73013-6305
Phone (405) 942-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT 053OKMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Counseling Associates Ministries of Edmond Professional CurrentSince Sep 2, 2024 Accepting new patients
Christian Clinic for Counseling of Edmond's First Baptist Church, Inc. CurrentSince Apr 1, 2024 Accepting new patients

Locations

501 E 15th St
Ste 102
Edmond, OK 73013
Phone (405) 285-9880

1300 E 33rd St
#B1
Edmond, OK 73013
Phone (405) 942-8888

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1184830119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST",
            "address_2": "202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163632",
            "telephone_number": "405-747-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST",
            "address_2": "202",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163632",
            "telephone_number": "405-747-6413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "CRAIG",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "LPC,LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "LPC 118",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OK",
            "license": "LMFT 053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.