Individual provider Active NPI

Linda Chassman Craddock, L.M.F.T.

  • Marriage & Family Therapist
  • Arvada, CO
National Provider Identifier
1508962424
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
835 Issued in CO
Practice address
7275 Kipling St
Arvada, CO 80005-3857
Phone
(720) 266-4444
Fax
(202) 664-4447
NPI assigned
Sep 16, 2006
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC22808 CA
Marriage & Family Therapist 106H00000X 835 CO Primary

Addresses

Primary practice location

7275 Kipling St
Arvada, CO 80005-3857

Mailing address

7275 Kipling St
Arvada, CO 80005-3857
Phone (720) 266-4444

Other identifiers 1

IdentifierTypeStateIssuer
35737565MedicaidCO

Other names 1

  • Dr. Linda Chassman Craddock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240820004493 CO Practitioner - Marriage and Family Therapist 5597203687 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
835COMDSocial Worker
MFC22808CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Animal Assisted Therapy Programs of Colorado CurrentSince Aug 2, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1508962424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 KIPLING ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053857",
            "telephone_number": "720-266-4444",
            "fax_number": "202-664-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 KIPLING ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053857",
            "telephone_number": "720-266-4444",
            "fax_number": "202-664-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "LINDA",
        "middle_name": "CHASSMAN",
        "name_prefix": "Dr.",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC22808",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35737565",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "CRADDOCK",
            "middle_name": "CHASSMAN",
            "prefix": "DR.",
            "credential": "L.M.F.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.