Individual provider Active NPI

Craig Felton, LCSW-R

  • Clinical Social Worker
  • Jamestown, NY
National Provider Identifier
1689982316
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
085988-1 Issued in NY
Practice address
515 Pine St
Jamestown, NY 14701-5345
Phone
(716) 201-0015
NPI assigned
Sep 15, 2010
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X NU
Clinical Social Worker 1041C0700X 085988-1 NY Primary

Addresses

Primary practice location

515 Pine St
Jamestown, NY 14701-5345

Mailing address

515 Pine St
Jamestown, NY 14701-5345
Phone (716) 640-4418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160609000964 NY Practitioner - Clinical Social Worker 2668762287 Reassigns benefits to 2 organizations
I20251224000568 PA Practitioner - Clinical Social Worker 2668762287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Missouri, Columbia School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Breakthrough Counseling LCSWGroup PAC ID 2163881814, 2 clinicians

Practice addresses (Care Compare)

3910 Caughey Rd
Suite 200
Erie, PA 16506-4098
Phone (716) 201-0015

515 Pine St
Jamestown, NY 14701-5345
Phone (716) 201-0016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085988-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Breakthrough Counseling, LCSW Mental Health CurrentSince Jul 1, 2023 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince Apr 26, 2016 Accepting new patients
County of Chautauqua - a Mun Corp CurrentSince Apr 26, 2016 Accepting new patients
Hulbert Counseling Services LCSW PC Clinical PastSince Feb 19, 2023 Accepting new patients

Locations

200 E 3rd St
Jamestown, NY 14701
Phone (716) 661-8330

200 E 3rd St
Ste 5
Jamestown, NY 14701
Phone (716) 661-8330

3 N Erie St
Mayville, NY 14757

3910 Caughey Rd
Ste 200
Erie, PA 16506
Phone (814) 464-5895

Organizations & group practices 4

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1689982316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PINE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015345",
            "telephone_number": "716-640-4418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PINE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015345",
            "telephone_number": "716-201-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELTON",
        "first_name": "CRAIG",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085988-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.