CHARLES L CRANE (LMFT) – Counselor, NPI 1194901637

Counselor

CHARLES L CRANE (LMFT) is a healthcare provider. based in Vernal, Utah. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. 6845102-3902 (UT). The NPI Number for CHARLES L CRANE (LMFT) is 1194901637

Main info

Male

19 Years Of Experience

Accepts Medicare Assignment

Name

CHARLES L CRANE (LMFT)

NPI

1194901637

Phone

(435) 790-6954

Address

175 N 100 W SUITE 106

Enumeration Date

15 January 2008

Last Update Date

17 December 2025

Doctor Profile

Medical School Name

OTHER

Secondary Phone

4357902757

Graduation Year

2007 (19 years ago)

PAC ID

1951795822

Group Practice PAC ID

0042604910

Professional Enrollment ID

I20240517003475

Address ID

UT840782010VE365XX50XX303

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience65

Completeness85

Years active:18State licenses:1Digital endpointsOther names

148 MARRIAGE AND FAMILY THERAPIST in UT

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Provider Addresses for CHARLES L CRANE (LMFT)

North 100 West, Vernal, Uintah County, Utah, 84078, United States
VERNAL, UT 840789802
Phone: (435) 790-6954
Fax: (435) 781-2116
Type: Mailing
365 W 50 N STE W8
VERNAL, UT 840782010
Phone: (435) 790-2757
Type: Mailing
PO BOX 37
VERNAL, UT 840780001
Phone: (435) 790-2757
Fax: (435) 789-4045
Type: Mailing
1285 W HIGHWAY 40
VERNAL, UT 840782923
Phone: (435) 790-2757
Fax: (435) 789-4045
Type: Location

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: 2024-05-17

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20240517003475	I	Marriage And Family Therapist	UT	TBD

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 84078)

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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: 0042604910View full group profile