Organization Active NPI

Craig Professional Services

  • Professional Counselor
  • Waco, TX
National Provider Identifier
1891945705
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17012 Issued in TX
Legal business name
CRAIG PROFESSIONAL SERVICES
Practice address
3300 Pine Ave
Waco, TX 76708-3142
Phone
(254) 855-5103
NPI assigned
Sep 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Authorized official

Name
Mr. Jason Craig, LPC
Title
Licensed Professional Counselor
Phone
(254) 855-5103

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 17012 TX Primary
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 32607 TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 51927 TX

Addresses

Primary practice location

3300 Pine Ave
Waco, TX 76708-3142

Mailing address

3300 Pine Ave
Waco, TX 76708-3142

Other identifiers 1

IdentifierTypeStateIssuer
193108101MedicaidTX

Other names 1

  • Central Texas Counseling and Assessment Services Doing business as

National Provider Directory

National Provider Directory

Locations

3300 Pine Ave
Waco, TX 76708
Phone (254) 235-7604

NPI Registry JSON

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

{
    "created_epoch": "1222473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1891945705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 PINE AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 PINE AVE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083142",
            "telephone_number": "254-855-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-27",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "254-855-5103",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17012",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "TX",
            "license": "32607",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193108101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Texas Counseling and Assessment Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.