Active NPI
Craig Warren Spillman, PH.D.
- Mental Health Counselor
- Irving, TX
National Provider Identifier
1982680344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9493
- Practice address
- 1300 W Walnut Hill LN
Suite 200
Irving, TX 75038-3007 - Phone
- (972) 550-8369
- Fax
- (972) 550-8531
- NPI assigned
- Dec 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9493 | TX | |
| Marriage & Family Therapist | 106H00000X | 001278 | TX | |
| Mental Health Counselor | 101YM0800X | 9493 | TX | Primary |
Addresses
Primary practice location
1300 W Walnut Hill LN
Suite 200
Irving, TX 75038-3007
Mailing address
1300 W Walnut Hill LN Ste 200
Irving, TX 75038-3074
Phone (972) 550-8369
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102003449 | TX | Practitioner - Mental Health Counselor | 7719337807 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Counseling Institute of Irving
- Mental Health Counselor
- Irving, TX
- NPI 1952174526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720224000000",
"number": "1982680344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 W WALNUT HILL LN STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750383074",
"telephone_number": "972-550-8369",
"fax_number": "972-550-8531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 W WALNUT HILL LN",
"address_2": "SUITE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750383007",
"telephone_number": "972-550-8369",
"fax_number": "972-550-8531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLMAN",
"first_name": "CRAIG",
"middle_name": "WARREN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2024-07-06",
"certification_date": "2024-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "9493",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "001278",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "9493",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.