Active NPIIndividual providerSole proprietor

Mr. Jack Craddock

Counselor in Lynn, Massachusetts

NPI Number1407789423
Practice location
112 Market St Ste 2, Lynn, MA 01901-1148
Fax
—
Last updated
June 8, 2026

Jack Craddock is a Counselor based in Lynn, MA. Jack Craddock practices in Lynn, MA. The NPI Number for Jack Craddock is 1407789423. The current practice location address for Jack Craddock is 112 Market St Ste 2, Lynn, MA 01901-1148 and can be reached out via phone at 781-593-7676.

Provider Profile Details

NPI Number
1407789423
Provider Name
Jack Craddock
Provider Entity Type
Individual
Gender
Male
Address
112 Market St Ste 2, Lynn, MA 01901-1148
Phone Number
781-593-7676
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 8, 2026
Last Update Date
June 8, 2026
Certification Date
June 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
112 Market St Ste 2
Lynn, MA 01901-1148
City
Lynn
Zip
01901-1148
Phone Number
781-593-7676
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
112 Market St Ste 2
Lynn, MA 01901-1148
City
Lynn
State
MA
Zip
01901-1148

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jack Craddock?

The NPI number of Mr. Jack Craddock is 1407789423. It was assigned on June 8, 2026 and is currently active in the NPPES registry.

What is the specialty of Mr. Jack Craddock?

Mr. Jack Craddock is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Mr. Jack Craddock practice?

The practice location is 112 Market St Ste 2, Lynn, MA 01901-1148. The office can be reached at 781-593-7676 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407789423 directly on the NPPES registry website.

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