DR. GERALDINE BAKER CRADDOCK D.MIN., LCADC, LPC
NPI 1083982185
Substance Abuse Rehabilitation Facility in Lexington, KY

Q: What is Geraldine Craddock's NPI number?

The NPI number for Geraldine Craddock is 1083982185. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Q: What is Geraldine Craddock's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Active since December 05, 2011

1588 HILL RISE DR, LEXINGTON, KY 40504(859) 255-0890(859) 255-0854 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Geraldine Baker Craddock D.min., Lcadc, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GERALDINE BAKER CRADDOCK D.MIN., LCADC, LPC (NPI 1083982185) is an individual substance abuse rehabilitation facility provider in Lexington, Kentucky, licensed in Kentucky (ADCLAD00225185) and active in the NPI registry since December 2011.

NPPES Registry Identity

NPI1083982185

Entity TypeIndividualFemale

Primary Taxonomy324500000X

Provider Legal NameDR. GERALDINE BAKER CRADDOCKCredential: D.MIN., LCADC, LPC

Location Address1588 HILL RISE DRLexington, KY 40504-2587

Mailing Address1588 Hill Rise DrLexington, KY 40504-2587 · (859) 255-0890 · Fax (859) 255-0854

Phone(859) 255-0890

Fax(859) 255-0854

Sole ProprietorYes

Enumeration DateDecember 5, 2011

Last NPPES UpdateApril 13, 2016

✔ NPI 1083982185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities

Taxonomy Code324500000X

Licenses✔ Licensed in KY · ADCLAD00225185✔ Licensed in KY · KY-0001

Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

1588 HILL RISE DR, Lexington, KY 40504

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Other Identifiers 1

Medicaid1083982185KY

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA WARE ADULT PEER SUPPORT

Peer Specialist

1588 HILL RISE DR
LEXINGTON, KY 40504

Fayette County (859) 255-0890

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geraldine Craddock's NPI number?

The NPI number for Geraldine Craddock is 1083982185. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Geraldine Craddock located?

Geraldine Craddock practices at 1588 Hill Rise Dr, Lexington, KY 40504. The listed phone number is (859) 255-0890.

What is Geraldine Craddock's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Geraldine Craddock was last updated on April 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.