Individual provider Active NPI

Jason Todd Cravens, LMFT - ASSOCIATE

  • Marriage & Family Therapist
  • Lewisville, TX
National Provider Identifier
1376119446
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204082 Issued in TX
Practice address
105 Kathryn Dr Ste D
Lewisville, TX 75067-4200
Phone
(469) 312-5017
Fax
(214) 279-5032
NPI assigned
May 31, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X 204082 TX Primary

Addresses

Primary practice location

105 Kathryn Dr Ste D
Lewisville, TX 75067-4200

Mailing address

4251 FM 2181 Ste 230-517
Corinth, TX 76210-4219
Phone (694) 312-5017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20250911001347 MO Practitioner - Marriage and Family Therapist 3870096365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling Associates of the Four States LLCGroup PAC ID 7012160435, 10 clinicians

Practice addresses (Care Compare)

705 W 26TH St
Joplin, MO 64804-1904
Phone (417) 627-9994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
204082TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rayl Enterprises Counselor CurrentSince Jun 6, 2021 Accepting new patients
Counseling Associates of the Four States, LLC Professional CurrentSince Sep 1, 2025 Accepting new patients

Locations

705 W 26th St
Joplin, MO 64804
Phone (417) 627-9994

4251 FM 2181
Ste 230517
Corinth, TX 76210

105 Kathryn Dr
Ste D
Lewisville, TX 75067
Phone (800) 972-0643

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1376119446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 FM 2181 STE 230-517",
            "city": "CORINTH",
            "state": "TX",
            "postal_code": "762104219",
            "telephone_number": "694-312-5017",
            "fax_number": "214-279-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KATHRYN DR STE D",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674200",
            "telephone_number": "469-312-5017",
            "fax_number": "214-279-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVENS",
        "first_name": "JASON",
        "middle_name": "TODD",
        "credential": "LMFT - ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.