Individual provider Active NPI

Denesha C Craig

  • Mental Health Counselor
  • Far Rockaway, NY
National Provider Identifier
1609401009
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2801 Deerfield Rd
Far Rockaway, NY 11691-2117
Phone
(929) 603-7109
Fax
(347) 619-8167
NPI assigned
Mar 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NY
Mental Health Counselor 101YM0800X NY Primary

Addresses

Primary practice location

2801 Deerfield Rd
Far Rockaway, NY 11691-2117

Mailing address

2801 Deerfield Rd
Far Rockaway, NY 11691-2117
Phone (929) 603-7109

Other practice location 1

2825 3rd Ave
Bronx, NY 10455-4066
Phone (585) 709-8319

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

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1609401009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 DEERFIELD RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912117",
            "telephone_number": "929-603-7109",
            "fax_number": "347-619-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEERFIELD RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116912117",
            "telephone_number": "929-603-7109",
            "fax_number": "347-619-8167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2825 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104554066",
            "country_code": "US",
            "telephone_number": "585-709-8319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "DENESHA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.