Randall Cravens, SUDRC # 17024

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17024 Issued in CA

Practice address

3075 Veda St
Redding, CA 96001-3245

Phone

(530) 244-6800

Fax

(530) 244-6802

NPI assigned

Jan 22, 2024

Last updated

Jan 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Randall Cravens Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1225899628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 VEDA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013245",
            "telephone_number": "530-244-6800",
            "fax_number": "530-244-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 VEDA ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013245",
            "telephone_number": "530-244-6800",
            "fax_number": "530-244-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVENS",
        "first_name": "RANDALL",
        "credential": "SUDRC # 17024",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "17024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDALL",
            "last_name": "CRAVENS",
            "credential": "RANDALL CRAVENS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Craig E. Fowers,DDS,Apc (Craig E. Fowers, D.D.S.)
• Denise Marie Craig, LCSW
• Thomas J Cramer, MD
• Justine Rae Crassweller
• Lori Elizabeth Cravens
• Gary Ward Crawford, MD
• Creekside Counseling Center Inc
• Cresswell Physical Therapy and Hand Rehabilitation Inc
• Suzanne Mary Cresswell, PT, OT, CHT
• Crestwood Behavioral Health, Inc. (Elpida Recovery Center)

• Addiction (Substance Use Disorder) Counselor in Redding, CA
• Providers in Redding, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.