Individual provider Active NPI

Craig Alan Handwerker, LMHC

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1861690851
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6657 Issued in FL
Practice address
4200 SW 54TH CT
Fort Lauderdale, FL 33314
Phone
(954) 880-9037
Fax
(954) 880-9037
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH6657 FL Primary

Addresses

Primary practice location

4200 SW 54TH CT
Fort Lauderdale, FL 33314

Mailing address

1255 SW 46TH Ave
#1712
Pompano Beach, FL 33069
Phone (954) 464-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH6657FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1861690851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 SW 46TH AVE",
            "address_2": "#1712",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-464-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 SW 54TH CT",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33314",
            "telephone_number": "954-880-9037",
            "fax_number": "954-880-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANDWERKER",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.