Doug McCracken

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7051 Heathcote Village Way Ste 125
Gainesville, VA 20155-3198

Phone

(571) 237-4556

Fax

(833) 702-9006

NPI assigned

Feb 28, 2007

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

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.

• Phoenix Counselinggroup and Play Therapycenter, PLLC

  • Mental Health Counselor
  • Gainesville, VA
  • NPI 1699123380
  NPD
• Safe Harbor Christian Counseling

  • Counselor
  • Bristow, VA
  • NPI 1336388321
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1629106125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CROWNCREST RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224064895",
            "telephone_number": "571-237-4556",
            "fax_number": "833-702-9006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 HEATHCOTE VILLAGE WAY STE 125",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553198",
            "telephone_number": "571-237-4556",
            "fax_number": "833-702-9006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "DOUG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701004422",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L Marsh, M.D.
• Lauren Gutta Matini, DDS
• Christy Elizabeth Maxwell, FNP
• Jenna Hazel McBride
• Dwayne Eric McClerklin, MD
• Tiffany McDonald, COTA/L
• Rita McVicar, O.T., CHT
• Mark Burdette Mechak, PA-C
• Dena Menzel, A N. P
• Merdad Dentistry PLLC

• Counselor in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Counselor in Virginia

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