MICHAEL MARVIN THOMAS CRADDOCK (NPI# 1285177410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285177410 |
| Entity Type | Individual |
| Full Name | MICHAEL MARVIN THOMAS CRADDOCK |
| Credential | M.ED |
| Practice Address |
5 N Leslie St Anaconda MT 59711-9304 |
| Practice Telephone | 4065653094 |
| Mailing Telephone | 4065653094 |
| Enumeration Date | 2016-11-20 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
BBH-LCPC-LIC-196 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457365652 | Michael Clyde Craddock | Pharmacist | Hc 34 Box 310, New Castle, VA 24127-9313 | 2006-07-27 |
| 1871541276 | Michael Raymond Craddock | Dentist | 8401 Pan American Fwy Ne Unit 8, Albuquerque, NM 87113-1823 | 2006-05-05 |
| 1902305360 | Michael Craddock | Behavioral Analyst | 90 Hospital Dr, Athens, OH 45701-2301 | 2018-02-12 |
| Street Address |
5 N LESLIE ST |
| City | ANACONDA |
| State | MT |
| Zip Code | 59711-9304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398725 | Wendra Ann Wendt | Massage Therapist | 1608 Ogden St, Anaconda, MT 59711 | 2020-08-28 |
| 1104325372 | Pintler Pharmacy Inc. | Pharmacy | 203 East Park, Anaconda, MT 59711 | 2018-02-02 |
| 1871045591 | Austin Peaslee | Behavioral Analyst | 205 East Park, Anaconda, MT 59711 | 2016-10-28 |
| 1356765747 | William Leroy Foster Jr. | Counselor | 1250 Harrison Ave, Butte, MT 59711 | 2014-02-06 |
| 1346464310 | Cheryl Anne Dunn | Speech-Language Pathologist | 1771 Obsidian Lane, Anaconda, MT 59711 | 2007-04-12 |
| 1043304504 | Gerianne Roberta Marchion | Counselor | 307 E Park Ave. #208, Anaconda, MT 59711 | 2006-10-02 |
| 1427153881 | Community Hospital of Anaconda | Internal Medicine | 401 W Pennsylvania, Anaconda, MT 59711 | 2006-09-13 |
| 1851301121 | Renee S. Riley-finnegan | Counselor | 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 | 2006-08-09 |
| 1942234513 | Richard Roy Jensen | Physical Therapist | 3383 Lost Creek Rd, Anaconda, MT 59711 | 2006-07-10 |
| 1982656229 | William M Reiter | Internal Medicine | 606 E Park Ave, Anaconda, MT 59711 | 2006-05-16 |
| Find all providers in zip 59711 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194225730 | Jerre Thompson | Counselor | 116 Rees Rd, Anaconda, MT 59711-2050 | 2018-02-20 |
| 1043304504 | Gerianne Roberta Marchion | Counselor | 307 E Park Ave. #208, Anaconda, MT 59711 | 2006-10-02 |
| 1851301121 | Renee S. Riley-finnegan | Counselor | 307 E. Park Glacier Bank Bldg., Ste. 310a, Anaconda, MT 59711 | 2006-08-09 |
| 1235144080 | Cheryl H D'remy | Counselor | 307 E Park Ave, Suite 211, Anaconda, MT 59711-2342 | 2006-07-30 |
| 1023460490 | Stacy Ann Fortner | Counselor | 205 E Park Ave, Anaconda, MT 59711-2340 | 2016-07-08 |
| 1467512392 | Lorena Craig | Counselor | 118 E 7th St, 2nd Floor Suite I, Anaconda, MT 59711-2900 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616489 | Heather Nichols | Counselor | 12195 Pulp Mill Rd, Missoula, MT 59808-9711 | 2020-10-16 |
| 1922606920 | Eating Disorder Center of Montana | Counselor | 319 S Willson Ave, Bozeman, MT 59715-4632 | 2020-10-12 |
| 1205433620 | Sarah Marie Yanker | Counselor | 5797 Vulk Dr, Helena, MT 59602-8999 | 2020-10-08 |
| 1215544705 | Mary Beth Mcrae | Counselor | 412 3rd Ave W, Kalispell, MT 59901-4804 | 2020-09-28 |
| 1902413818 | Roman Paul Nalivka | Counselor | 3000 Continental Dr, Butte, MT 59701-4506 | 2020-09-24 |
| 1811503154 | Kira Marie Fercho | Counselor | 6509 Western Way, Billings, MT 59106-3224 | 2020-09-22 |
| 1093320152 | Becki Koon | Counselor | 167 S 2nd St, Hamilton, MT 59840-2519 | 2020-09-14 |
| 1730794900 | Amber R. Pierce | Counselor | 27 W Park St Ste 3, Butte, MT 59701-1722 | 2020-09-14 |
| 1609489822 | Chrysalis Counseling | Counselor | 1119 W Kent Ave Ste F, Missoula, MT 59801-6687 | 2020-08-27 |
| 1528670676 | Melody Hope Lark | Counselor | 481 Lower Airport Rd, Lewistown, MT 59457-8016 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.