Individual provider Active NPI

Michael Anthony Crowdes, LPC

  • Counselor
  • Lakewood, OH
National Provider Identifier
1205440906
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
C.2103822 Issued in OH
Practice address
14805 Detroit Ave Ste 450
Lakewood, OH 44107-3920
Phone
(216) 412-2200
NPI assigned
Sep 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X C.2103822 OH Primary

Addresses

Primary practice location

14805 Detroit Ave Ste 450
Lakewood, OH 44107-3920

Mailing address

14805 Detroit Ave Ste 450
Lakewood, OH 44107-3920
Phone (216) 412-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240220001956 OH Practitioner - Mental Health Counselor 5698119436 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C.2103822OHMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Organics LLC CurrentSince Feb 5, 2024 Accepting new patients
Cognitive Organics LLC CurrentSince Feb 5, 2024 Accepting new patients
Rockport Counseling LLC CurrentSince Nov 15, 2024 Accepting new patients

Locations

14805 Detroit Ave
Ste 450
Lakewood, OH 44107
Phone (216) 256-7003

24600 Center Ridge Rd
Ste 125
Westlake, OH 44145
Phone (216) 221-4697

2637 Tusky Valley Rd NE
Zoarville, OH 44656
Phone (330) 859-2213

263 Rainbow Dr
#16343
Livingston, TX 77399

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1205440906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 450",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073920",
            "telephone_number": "216-412-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 450",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073920",
            "telephone_number": "216-412-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDES",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2103822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.