Craig A Watson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1807 Issued in MS

Practice address

208 Key Dr Ste C
Madison, MS 39110-7378

Phone

(662) 386-1366

NPI assigned

Jul 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Vitality Behavioral Health, LLC

  • Mental Health Counselor
  • Starkville, MS
  • NPI 1114870912
  NPD Authorized official
• Vitality Counseling

  • Professional Counselor
  • Madison, MS
  • NPI 1154904035
  NPD Authorized official

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1336662188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 MAIN ST STE C-419",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 KEY DR STE C",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107378",
            "telephone_number": "662-386-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "CRAIG",
        "middle_name": "A",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1807",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Ward Warwick, RD/CDE
• Tina Washington-Anderson, LPC
• Nina T Washington, MD
• Kellie J Watkins, FNP
• Sarah Watkins
• Gayle Watters, DMD
• Waymaker Enterprises, LLC
• John C Webb, L.P.C.
• Webster Arthritis Clinic, PLLC
• Stevan Webster, M.D.

• Professional Counselor in Madison, MS
• Providers in Madison, MS by specialty
• Professional Counselor in Mississippi

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