Individual provider Active NPI

Antonia Sommer Craige, LCMHC-A

  • Mental Health Counselor
  • Durham, NC
National Provider Identifier
1427723212
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCMHCA12435 Issued in NC
Practice address
5127 Troon LN
Durham, NC 27712-1829
Phone
(919) 219-8100
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCMHCA12435 NC Primary

Addresses

Primary practice location

5127 Troon LN
Durham, NC 27712-1829

Mailing address

1911 Meeting St
Durham, NC 27705-3059
Phone (919) 219-8100

Other identifiers 1

IdentifierTypeStateIssuer
LCMHCA12435OtherNCNORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address connect@tonicraige.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCMHCA12435NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1427723212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 MEETING ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277053059",
            "telephone_number": "919-219-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5127 TROON LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277121829",
            "telephone_number": "919-219-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGE",
        "first_name": "ANTONIA",
        "middle_name": "SOMMER",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCMHCA12435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS",
            "identifier": "LCMHCA12435",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "connect@tonicraige.com",
            "affiliation": "N",
            "endpointDescription": "encrypted email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "5127 Troon Ln",
            "city": "Durham",
            "state": "NC",
            "country_code": "US",
            "postal_code": "277121829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.