Id Substrate, PLLC
NPI 1043930662ActiveOrganization· Counselor, Mental Health· Phoenix, AZ
Counselor, Mental Health in Phoenix, Arizona, registered in NPPES in September 2022. The authorized official on file is Dawn M. Craig, Administrator.
Overview
| NPI | 1043930662 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2022 |
| Last updated in NPPES | Sep 1, 2022 |
| Certified by provider | Aug 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Psychologist, Forensic | 103TF0200X | — | — |
| Psychologist, Group Psychotherapy | 103TP2701X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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