Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. STACI CRAVEN
NPI 1841620325
Counselor in Tulsa, OK

Active since November 19, 2013PECOS Enrolled
2616 N BOSTON PL, TULSA, OK 74106(505) 415-4426 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Staci Craven NPPES

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

MRS. STACI CRAVEN (NPI 1841620325) is an individual counselor in Tulsa, Oklahoma, licensed in Oklahoma (6695) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841620325
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. STACI CRAVEN
Location Address2616 N BOSTON PLTulsa, OK 74106-2208
Mailing Address3708 E 36th St NTulsa, OK 74115-1705 · (918) 232-4540 · Fax (918) 425-0050
Sole ProprietorYes
Enumeration DateNovember 19, 2013
Last NPPES UpdateOctober 12, 2026
NPPES CertifiedOctober 12, 2026
✔ NPI 1841620325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · 6695
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2616 N BOSTON PL, Tulsa, OK 74106

Other Names 1

Former Name (1)Staci Waldon

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Staci Craven 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.

Medicare Billing Reassignment

Medicare enrollment records show Staci Craven reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
3606 N MLK BLV JR.
Tulsa, OK 74106
  • Reassigned Medicare billing, Oklahoma enrollment
  • 14 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Behavior Technician
2616 N BOSTON PL
TULSA, OK 74106
Counselor (Mental Health)
2616 N BOSTON PL
TULSA, OK 74106
Behavior Analyst
2616 N BOSTON PL
TULSA, OK 74106
Counselor
2616 N BOSTON PL
TULSA, OK 74106
Counselor
2616 N BOSTON PL
TULSA, OK 74106

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 Staci Craven's NPI number?

The NPI number for Staci Craven is 1841620325. It was assigned to this individual provider in the NPPES registry on November 19, 2013. The provider is also known as Staci Waldon.

Where is Staci Craven located?

Staci Craven practices at 2616 N Boston Pl, Tulsa, OK 74106. The listed phone number is (505) 415-4426.

What is Staci Craven's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Staci Craven enrolled in Medicare?

Yes. Staci Craven is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Staci Craven's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Craven reassigns Medicare benefits to Sydlyfe Counseling Services, LLC (Tulsa, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Staci Craven's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Staci Craven was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.