Active NPI
Nancy J Craft, MS, LPCC
- Mental Health Counselor
- Elk River, MN
National Provider Identifier
1831614932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CC01323
- Practice address
- 508 Freeport Ave NW Ste D
Elk River, MN 55330-1874 - Phone
- (734) 441-1578
- Fax
- (765) 441-1740
- NPI assigned
- Aug 9, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CC01323 | MN | Primary |
Addresses
Primary practice location
508 Freeport Ave NW Ste D
Elk River, MN 55330-1874
Mailing address
508 Freeport Ave NW Ste D
Elk River, MN 55330-1874
Phone (734) 441-1578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
231 Main St NW
Suite 5
Elk River, MN 55330-4521
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC01323 | MN | MD | Mental Health Counselor |
| 1323 | MN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Well Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
231 Main St NW
Ste 5
Elk River, MN 55330
Phone (763) 237-3505
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831614932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 FREEPORT AVE NW STE D",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301874",
"telephone_number": "734-441-1578",
"fax_number": "765-441-1740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 FREEPORT AVE NW STE D",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301874",
"telephone_number": "734-441-1578",
"fax_number": "765-441-1740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFT",
"first_name": "NANCY",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "MS, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-09",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "CC01323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.