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Active NPI 1174763783 Individual Practitioner Male Practitioner

Douglas Edward Craddock , LMHC, LPCC

Counselor - Professional • Clearwater, FL

Professional Overview & Biography Verified Profile Summary

Douglas Craddock, LMHC, LPCC is a registered healthcare professional specializing in Counselor - Professional in Clearwater, FL. Practice services are available at 25400 US 19 N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25400 Us 19 N
Suite 107

Clearwater, FL 337632149

Telephone 7277918714
Associated Practice Facility / Clinic
🏢 Angelic Hearts Home Care Services, Llc Facility NPI 1427599240

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Clearwater, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 16.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Clearwater, FL (890 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E-2588

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License FL MH10055

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1386996601

Doctor of Oriental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active July 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2011

Registered at 25400 US 19 N, SUITE 107, CLEARWATER, FL 337632149 (Tel: 7277918714)

📍
Updated Business Mailing Address July 13, 2011

Registered at 25400 US HIGHWAY 19 N, SUITE 107, CLEARWATER, FL 337632149 (Tel: 7277918714)

👤
Provider Name / Credentials Updated July 13, 2011

Recorded as DOUGLAS CRADDOCK, LMHC, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2011

Counselor (License #MH10055 in FL)

🟢
Initial NPI Registration & Enumeration February 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174763783
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2009
Last Update: July 13, 2011
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

25400 Us Highway 19 N, Suite 107

Clearwater, FL 337632149

Phone: 7277918714

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.