JEREMY CRADDOCK
NPI 1306246251
Counselor - Mental Health in Lexington, SC

Active since August 28, 2014
301A PALMETTO PARK BLVD, LEXINGTON, SC 29072(803) 359-3545 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeremy Craddock NPPES

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

JEREMY CRADDOCK (NPI 1306246251) is an individual mental health provider in Lexington, South Carolina, licensed in South Carolina (5624) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1306246251
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMY CRADDOCK
Location Address301A PALMETTO PARK BLVDLexington, SC 29072-7872
Mailing Address34 Woodcross Dr, 210Columbia, SC 29212-2355
Sole ProprietorYes
Enumeration DateAugust 28, 2014
NPI 1306246251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in SC · 5624
301A PALMETTO PARK BLVD, Lexington, SC 29072

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072
Counselor
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072
Registered Nurse
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072
Registered Nurse (Psychiatric/Mental Health, Adult)
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072
Nurse Practitioner (Adult Health)
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072
Counselor (Professional)
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072
Registered Nurse (Psychiatric/Mental Health, Adult)
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072
Counselor (Mental Health)
301A PALMETTO PARK BLVD
LEXINGTON, SC 29072

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 Jeremy Craddock's NPI number?

The NPI number for Jeremy Craddock is 1306246251. It was assigned to this individual provider in the NPPES registry on August 28, 2014.

Where is Jeremy Craddock located?

Jeremy Craddock practices at 301A Palmetto Park Blvd, Lexington, SC 29072. The listed phone number is (803) 359-3545.

What is Jeremy Craddock's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeremy Craddock was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.