Individual provider Active NPI

Colette Anne Craig, AMFT

  • Marriage & Family Therapist
  • Placentia, CA
National Provider Identifier
1245864370
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
132040 Issued in CA
Practice address
1391 Tartan Cir
Placentia, CA 92870-3526
Phone
(714) 615-3748
NPI assigned
Feb 27, 2020
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 132040 CA Primary

Addresses

Primary practice location

1391 Tartan Cir
Placentia, CA 92870-3526

Mailing address

1391 Tartan Cir
Placentia, CA 92870-3526
Phone (714) 615-3748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250228002356 CA Practitioner - Marriage and Family Therapist 5496275885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
County of Orange Current Accepting new patients
County of Orange CurrentSince Dec 22, 2024 Accepting new patients
County of Orange CurrentSince Dec 22, 2024 Accepting new patients

Locations

2035 E Ball Rd
Ste 200
Anaheim, CA 92806
Phone (714) 517-6300

23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1245864370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 TARTAN CIR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703526",
            "telephone_number": "714-615-3748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 TARTAN CIR",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703526",
            "telephone_number": "714-615-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "COLETTE",
        "middle_name": "ANNE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-27",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.