Individual provider Active NPI

Michelle Kay Crossley, PHD, LMHC, NCC, ACS

  • Mental Health Counselor
  • Pawtucket, RI
National Provider Identifier
1104255264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC00868 Issued in RI
Practice address
750 East Ave Ste 1B
Pawtucket, RI 02860-6165
Phone
(401) 288-1472
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MHC00868 RI Primary

Addresses

Primary practice location

750 East Ave Ste 1B
Pawtucket, RI 02860-6165

Mailing address

750 East Ave Ste 1B
Pawtucket, RI 02860-6165
Phone (401) 288-1472

Other practice location 1

607 Pleasant St
Suite 115
Attleboro, MA 02703-2570
Phone (508) 223-4691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MHC00868RIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ri Counseling Associates, LLC Mental Health Current Accepting new patients
SB Transitional Sub, LLC PastSince May 17, 2021 Accepting new patients
South Bay Mental Health Center, Inc. PastSince May 12, 2010 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104255264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 EAST AVE STE 1B",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606165",
            "telephone_number": "401-288-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST AVE STE 1B",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028606165",
            "telephone_number": "401-288-1472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "607 Pleasant St",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027032570",
            "country_code": "US",
            "telephone_number": "508-223-4691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSLEY",
        "first_name": "MICHELLE",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC, NCC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC00868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.