Kaiden Alexander Craddock, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

319 SW Washington St Ste 1001
Portland, OR 97204-2615

Phone

(971) 202-0677

NPI assigned

Oct 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaira Craddock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Pacific Center for Mind and Health LLC

  • Counselor
  • Portland, OR
  • NPI 1679261143
  NPD

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1548735616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 SW WASHINGTON ST STE 1001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042615",
            "telephone_number": "971-202-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SW WASHINGTON ST STE 1001",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042615",
            "telephone_number": "971-202-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "KAIDEN",
        "middle_name": "ALEXANDER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAIRA",
            "last_name": "CRADDOCK",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Crabtree, PMHNP-BC
• Owen Hugh Crabtree, PSYD
• Peter H. Crabtree, PSY.D.
• Rylie Crabtree
• Stefan-Eugen Craciun, M.D.
• Laura Craford
• Chelsey Craft, LMT
• Jackie Sue Craft, LPN
• Jacqueline Craft
• Kara Lynne Crafts, P.A-C

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.