Individual provider Active NPI

Michelle Lee Loucraft

  • Mental Health Counselor
  • Putnam, CT
National Provider Identifier
1104507201
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6519 Issued in CT
Practice address
320 Pomfret St
Putnam, CT 06260-1836
Phone
(860) 963-6385
NPI assigned
Jul 31, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 6519 CT Primary

Addresses

Primary practice location

320 Pomfret St
Putnam, CT 06260-1836

Mailing address

5 Card St
Lebanon, CT 06249-1011
Phone (860) 266-0241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819004374 CT Practitioner - Mental Health Counselor 3577062199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Day Kimball Healthcare, Inc.Group PAC ID 5092773549, 27 clinicians

Practice addresses (Care Compare)

267 Willimantic Rd
Suite 3
Chaplin, CT 06235-2532

320 Pomfret St
Putnam, CT 06260-1836
Phone (860) 928-6541

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6519CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Interior Castle Counseling, LLC CurrentSince Jan 1, 2026 Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Jun 14, 2025 Accepting new patients
Day Kimball Healthcare, Inc. Current Accepting new patients
University Pathologists, LLC Current Accepting new patients
Day Kimball Healthcare, Inc. CurrentSince Jun 14, 2025 Accepting new patients

Locations

267 Willimantic Rd
Ste 3
Chaplin, CT 06235
Phone (860) 449-3798

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

Interoperability endpoints

  • Direct secure messaging: michelle.loucraft.1@29658.direct.athenahealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1104507201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CARD ST",
            "city": "LEBANON",
            "state": "CT",
            "postal_code": "062491011",
            "telephone_number": "860-266-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 POMFRET ST",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601836",
            "telephone_number": "860-963-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUCRAFT",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "6519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Putnam, CT

Sources for this page

Verify at the official NPI Registry.