Provider Demographics
NPI:1225381874
Name:CASPARI, CRAIG DAVIS (LIMHP, CMFT, LMFT)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:DAVIS
Last Name:CASPARI
Suffix:
Gender:M
Credentials:LIMHP, CMFT, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3113 W 43RD AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66103-2734
Mailing Address - Country:US
Mailing Address - Phone:402-915-2279
Mailing Address - Fax:
Practice Address - Street 1:12001 Q ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3542
Practice Address - Country:US
Practice Address - Phone:402-592-0328
Practice Address - Fax:402-592-4170
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-19
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1417106H00000X
IA076846106H00000X
NMCTB-2022-0082106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist