Active NPI
Craig Professional Services
- Professional Counselor
- Waco, TX
National Provider Identifier
1891945705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17012
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17012 | TX | Primary |
| School Psychologist | 103TS0200X | 32607 | TX | |
| Clinical Social Worker | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193108101 | Medicaid | TX |
Other names 1
- Central Texas Counseling and Assessment Services
National Provider Directory
National Provider DirectoryLocations
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.