Raymond Glenn Crandall III, CP61656010

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CO61176966 Issued in WA

Practice address

14819 E Mission Ave
Spokane Valley, WA 99216-1960

Phone

(206) 566-2797

NPI assigned

Jul 12, 2023

Last updated

Aug 21, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/spokanerecovery/r4/

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.

• Community Detox Services of Spokane

  • Adult Mental Health Clinic/Center
  • Spokane, WA
  • NPI 1841957990
  NPD
• Spokane Treatment and Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Spokane, WA
  • NPI 1104957323
  NPD

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1376222893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14819 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161960",
            "telephone_number": "206-566-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14819 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161960",
            "telephone_number": "206-566-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANDALL",
        "first_name": "RAYMOND",
        "middle_name": "GLENN",
        "name_suffix": "III",
        "credential": "CP61656010",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG61689414",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61176966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig D. Anglesey (Anglesey Family Chiropractic & Massage Center)
• Brenda Lynn Craig, CPMC, NBHWC
• Paul Martin Craig, M.D.
• Benjamin Crain
• Shad Lee Cramer
• Tayler Aylce Crandell
• Jennifer Anne Cranmore, RN
• Briana Craven
• Amanda K Crawford
• Rhylee A Crawford

• Addiction (Substance Use Disorder) Counselor in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.