Craig Comanche, CAC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

4199 Issued in LA

Practice address

1010 N 9TH St
Monroe, LA 71201-5513

Phone

(318) 789-9910

Fax

(318) 855-4372

NPI assigned

Oct 18, 2018

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Good News Counseling - Bastrop

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bastrop, LA
  • NPI 1831957828
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1255807186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N 9TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015513",
            "telephone_number": "318-789-9910",
            "fax_number": "318-855-4372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N 9TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015513",
            "telephone_number": "318-789-9910",
            "fax_number": "318-855-4372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMANCHE",
        "first_name": "CRAIG",
        "credential": "CAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-18",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "4199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF LOUISIANA ADDICTIVE DISORDER REGULATORY AUTHORITY",
            "identifier": "5077",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbia Healthcare Systems of la, Inc
• Porsche L Colvin
• Sherrie Gibbs Colvin
• Tammie D Colvin, CIT
• Betty Comanche, RAC
• Darrell Comanche Sr., MHS
• Frederick Comanche, CIT
• Mary Comanche, RN
• Daniel C Comeaux, DC
• Carmen B Comer, MA, PLPC

• Case Manager/Care Coordinator in Monroe, LA
• Providers in Monroe, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.