Michelle Lee Loucraft
Individual provider Active NPI Mental Health Counselor · Putnam, CT
NPI 1104507201 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1104507201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 6519 (CT)
- Practice address
- 320 Pomfret St
Putnam, CT 06260-1836 - Phone
- (860) 963-6385
- NPI assigned
- Jul 31, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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.
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
- Day Kimball Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250819004374 | CT | Practitioner - Mental Health Counselor | 3577062199 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6519 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Day Kimball Healthcare, Inc. | Current | Accepting new patients | |
| University Pathologists, LLC | Current | Accepting new patients | |
| Day Kimball Healthcare, Inc. | Current |
Accepting new patients | |
| Interior Castle Counseling, LLC | Current |
Accepting new patients | |
| Day Kimball Healthcare, Inc. | Current |
Accepting new patients |
Locations
267 Willimantic Rd
Ste 3
Chaplin, CT 06235
Phone (845) 706-1909
320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331
Interoperability endpoints
- michelle.loucraft.1@29658.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6519 | CT | Yes |
Addresses
Primary practice location
320 Pomfret St
Putnam, CT 06260-1836
Mailing address
5 Card St
Lebanon, CT 06249-1011
Phone (860) 266-0241
NPI Registry JSON
{
"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
- Lacey E Lindner
- Tayler Livernoche
- Margaret Lizotte
- Olivia Shea Locker
- Erin M Lopomo
- Danielle M Luft
- Lacey Bryn Luneau
- Stephanie Lynn
- Megan M Macdonald
- Sherry Macfarland
All providers in Putnam, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.