COURTNEY CRAIG – Professional Counselor, NPI 1114817368

COURTNEY CRAIG is a healthcare provider. based in Great bend, Kansas. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 03914 (KS). The NPI Number for COURTNEY CRAIG is 1114817368

Main info

Organization
6 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY CRAIG
NPI
1114817368
Phone
(620) 792-2544
Address
5815 BROADWAY AVE
Enumeration Date
8 July 2025
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6207922544
Graduation Year
2020 (6 years ago)
PAC ID
9638687353
Group Practice PAC ID
2961458518
Professional Enrollment ID
I20250804003545
Address ID
KS675303123GR5815XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

387 MENTAL HEALTH COUNSELOR in KS

Provider Addresses for COURTNEY CRAIG

  • 5815 BROADWAY AVE

    GREAT BEND, KS 675303197

    Phone: (620) 792-2544

    Fax: (620) 792-7052

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250804003545IMental Health CounselorKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67530)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961458518View full group profile
NameSpecialtyState
Mental Health CounselorKS
Marriage And Family TherapistKS
-KS
Mental Health CounselorFL
Marriage And Family TherapistKS
Mental Health CounselorKS
-KS
-KS
P S Y C H I A T R YKS
Mental Health CounselorKS

Reviews

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Frequently asked questions

What unique ID ties claims to COURTNEY CRAIG?
NPI 1114817368 is assigned to COURTNEY CRAIG under the national enumeration system.
Is COURTNEY CRAIG currently active in the NPI registry?
CMS-published data lists COURTNEY CRAIG as an active registrant.
What does COURTNEY CRAIG treat or focus on?
Patients typically see COURTNEY CRAIG under the specialty Professional Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for COURTNEY CRAIG?
The page summarizes Great Bend, Kansas for COURTNEY CRAIG; expand the address list for detail.
How can I contact COURTNEY CRAIG?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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