ZACHARY CRADDOCK
NPI 1407595135
Counselor - Mental Health in Concord, NC

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since June 01, 2022PECOS Enrolled

280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025(704) 237-4240 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Zachary Craddock NPPES

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

ZACHARY CRADDOCK (NPI 1407595135) is an individual mental health provider in Concord, North Carolina and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407595135

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameZACHARY CRADDOCK

Location Address280 EXECUTIVE PARK DR STE 100Concord, NC 28025-1838

Mailing Address2207 Heritage CtKannapolis, NC 28083-6474 · (704) 562-8390

Phone(704) 237-4240

Sole ProprietorNo

Enumeration DateJune 1, 2022

NPPES CertifiedMay 26, 2022

✔ NPI 1407595135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

280 EXECUTIVE PARK DR STE 100, Concord, NC 28025

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Zachary Craddock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.