Katelyn Marie Crompton, LMHC, R-DMT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12211 Issued in MA

Practice address

542 Central Ave
Pawtucket, RI 02861-5919

Phone

(401) 409-5509

Fax

(401) 340-1855

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Northeast Health Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Taunton, MA
  • NPI 1225067481
  Medicare reassignment NPD
• Mind Body Connection Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pawtucket, RI
  • NPI 1114672250
  NPD Authorized official
• Vendetti Wellness Group, PC

  • Community/Behavioral Health Agency
  • Framingham, MA
  • NPI 1952836546
  NPD

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1306247440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MAIN ST STE 2",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 CENTRAL AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028615919",
            "telephone_number": "401-409-5509",
            "fax_number": "401-340-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMPTON",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, R-DMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "12211",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "MHC01210",
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": null,
            "license": "R-DMT-2134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher James Crawley Jr.
• Donna Crawshaw, MASTERS
• Create Art & Wellness, LLC
• Crest Urgent Care
• Charlotte Crider
• Courtney J Crone, OTR/L
• Michelle Kay Crossley, PHD, LMHC, NCC, ACS
• James Crowley, MD
• Catherine Cruz, LICSW, LCDP
• Edwin Cruz, PA-C

• Mental Health Counselor in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Mental Health Counselor in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.