Craig B Congleton, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

KY-725 Issued in KY

Practice address

3175 Custer Dr Ste 200
Lexington, KY 40517-4023

Phone

(859) 273-1288

Fax

(859) 273-1278

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Psychiatric Associates

  • Psychiatry Physician
  • Lexington, KY
  • NPI 1134240393
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201392000000",
    "number": "1639100167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3175 CUSTER DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174023",
            "telephone_number": "859-273-1288",
            "fax_number": "859-273-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 CUSTER DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174023",
            "telephone_number": "859-273-1288",
            "fax_number": "859-273-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONGLETON",
        "first_name": "CRAIG",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KY ANTHEM BC/BS NUMBER",
            "identifier": "000000042911",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Beatrice Galang Concepcion, MD
• Evan Conder, MD
• Jaclyn Miller Condo, PA-C
• Celena Marie Condon, APRN
• Brittany Condra
• Kayla Congleton
• Sarah Angelina Congleton, PA-C
• John D Conklin, MD
• Kristeena Conkright, PA-C
• Brittney Leeann Conley

• Mental Health Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2008; 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.