Organization Active NPI

Karlee Craddock PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ardmore, OK
National Provider Identifier
1922646678
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
KARLEE CRADDOCK PLLC
Practice address
301 W Main St Ste 202
Ardmore, OK 73401-6322
Phone
(580) 226-9222
NPI assigned
Dec 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Karlee Janene Craddock, M.S., LPCNPI 1023520483
Title
Therapist
Phone
(405) 593-8741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

301 W Main St Ste 202
Ardmore, OK 73401-6322

Mailing address

301 W Main St Ste 202
Ardmore, OK 73401-6322

National Provider Directory

National Provider Directory

Locations

301 W Main St
Ste 202
Ardmore, OK 73401
Phone (580) 223-2537

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1922646678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST STE 202",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MAIN ST STE 202",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734016322",
            "telephone_number": "580-226-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLEE CRADDOCK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "KARLEE",
        "authorized_official_middle_name": "JANENE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "405-593-8741",
        "authorized_official_credential": "M.S., LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.