Adriana L Craddock, LPA, LPC, LBSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

16993 Issued in TX

Practice address

2315 E Saunders St
Suite 2
Laredo, TX 78041-5434

Phone

(956) 729-1991

Fax

(956) 724-4081

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Laredo Counseling Services

  • Professional Counselor
  • Laredo, TX
  • NPI 1639213184
  NPD (past) Authorized official

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1972666998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 GUSTAVUS ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780432424",
            "telephone_number": "956-729-1991",
            "fax_number": "956-724-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E SAUNDERS ST",
            "address_2": "SUITE 2",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780415434",
            "telephone_number": "956-729-1991",
            "fax_number": "956-724-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "ADRIANA",
        "middle_name": "L",
        "credential": "LPA, LPC, LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16993",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "TX",
            "license": "37072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435026",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Adan Cortina
• Esmerelda Cortinas
• Counseling With Grace PLLC
• Courageous Counseling Center, PLLC
• Daniella Covarrubias
• Christopher Scott Craddock, LPC, LCDC
• Lance Cremar, R.D., L.D.
• Carlos F Crespo, MD
• Ginger Lynn Crocker
• Crown Chiropractic

• Professional Counselor in Laredo, TX
• Providers in Laredo, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.