Individual provider Active NPI

Lauren Anne Crockett, LMHC, MS, NCC

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1376748855
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60062922 Issued in WA
Practice address
1239 120TH Ave NE Ste C
Bellevue, WA 98005-2133
Phone
(425) 462-2776
NPI assigned
Jun 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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 LH60062922 WA Primary

Addresses

Primary practice location

1239 120TH Ave NE Ste C
Bellevue, WA 98005-2133

Mailing address

1239 120TH Ave NE Ste C
Bellevue, WA 98005-2133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LH60062922WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lauren Crockett Counseling, PLLC Current Accepting new patients

Locations

1400 112th Ave SE
Ste 202
Bellevue, WA 98004
Phone (206) 317-8287

Organizations & group practices 1

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": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1376748855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 120TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 120TH AVE NE STE C",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052133",
            "telephone_number": "425-462-2776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "LAUREN",
        "middle_name": "ANNE",
        "credential": "LMHC, MS, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60062922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.