Michele Renee Craig, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-23106 Issued in AZ

Practice address

11318 N 145TH LN
Surprise, AZ 85379-4353

Phone

(480) 449-7999

NPI assigned

Oct 1, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1760200513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 E ROOSEVELT ST APT 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850063471",
            "telephone_number": "602-348-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11318 N 145TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794353",
            "telephone_number": "480-449-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Claire Courtney-Koro, PT
• Jenell Cox, R.N.
• Mary Kay Cragan, PH.D.
• Judith Carrie Craig, R.N.
• Kristin J Craig, LVN
• Danielle N. Crawford, AU.D.
• Creative Hospice & Palliative Care of Arizona, Inc
• Creative Life Skills Development
• Sandra Crowe
• Jeanette Anuddin Cruz, M.D.

• Mental Health Counselor in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.