Individual provider Active NPI

Patricia Crockett, LMHC, SOTP

  • Mental Health Counselor
  • University Place, WA
National Provider Identifier
1205244936
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00008583 Issued in WA
Practice address
4113 Bridgeport Way W Ste F
University Place, WA 98466-4325
Phone
(253) 444-5450
Fax
(253) 444-5451
NPI assigned
Jul 25, 2014
Last updated
Sep 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X FC00000178 WA
Mental Health Counselor 101YM0800X LH00008583 WA Primary

Addresses

Primary practice location

4113 Bridgeport Way W Ste F
University Place, WA 98466-4325

Mailing address

4113 Bridgeport Way W Ste F
University Place, WA 98466-4325
Phone (253) 444-5450

Other practice location 1

2540 Cascades Pass Blvd Ste 203
Bremerton, WA 98312-2139
Phone (253) 509-3507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20251209004227 WA Practitioner - Mental Health Counselor 8527551613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10414 Peacock Hill Ave
SPC 31
Gig Harbor, WA 98332-7920

4113 Bridgeport Way W
Suite F
University Place, WA 98466-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
FC00000178WAMDCounselor
LH00008583WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Crockett and Associates LLC Counselor CurrentSince Sep 28, 2025 Accepting new patients
Kocott and Associates,PLLC Counselor CurrentSince Oct 5, 2025 Accepting new patients

Locations

2540 Cascades Pass Blvd
Ste 203
Bremerton, WA 98312
Phone (253) 509-3507

4113 Bridgeport Way W
Ste F
University Place, WA 98466
Phone (253) 460-5524

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1205244936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 BRIDGEPORT WAY W STE F",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664325",
            "telephone_number": "253-444-5450",
            "fax_number": "253-444-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 BRIDGEPORT WAY W STE F",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664325",
            "telephone_number": "253-444-5450",
            "fax_number": "253-444-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Cascades Pass Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bremerton",
            "state": "WA",
            "postal_code": "983122139",
            "country_code": "US",
            "telephone_number": "253-509-3507",
            "fax_number": "253-444-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LMHC, SOTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "FC00000178",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00008583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

Verify at the official NPI Registry.