Individual provider Active NPI

Amy Beth Craven, LADC I

  • Addiction (Substance Use Disorder) Counselor
  • Worcester, MA
National Provider Identifier
1194438598
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
21320 Issued in MA
Practice address
1183 Main St
Worcester, MA 01603-2012
Phone
(508) 986-9480
Fax
(508) 796-2273
NPI assigned
Dec 30, 2022
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21320 MA Primary

Addresses

Primary practice location

1183 Main St
Worcester, MA 01603-2012

Mailing address

1183 Main St
Worcester, MA 01603-2012
Phone (508) 834-8599

Other identifiers 1

IdentifierTypeStateIssuer
1144769167MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy-beth.craven@promises.com Aloria of Worcester, LLC

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

LicenseStateTypeSpecialty
21320MAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1672358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1194438598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016032012",
            "telephone_number": "508-834-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016032012",
            "telephone_number": "508-986-9480",
            "fax_number": "508-796-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "AMY BETH",
        "credential": "LADC I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-30",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "21320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144769167",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy-beth.craven@promises.com",
            "affiliation": "Y",
            "affiliationName": "Aloria of Worcester, LLC",
            "address_1": "1183 Main St",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016032012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2022; 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.