Active NPI
Abigail Leigh Crickmore, LMHC
- Mental Health Counselor
- Kirkland, WA
National Provider Identifier
1568034981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MC61104156
- Practice address
- 13305 105TH Ave NE
Kirkland, WA 98034-2041 - Phone
- (425) 202-5852
- NPI assigned
- Jul 14, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MC61104156 | WA | Primary |
Addresses
Primary practice location
13305 105TH Ave NE
Kirkland, WA 98034-2041
Mailing address
PO Box 312
Medina, WA 98039-0312
Phone (425) 233-0352
Other practice location 1
1309 Bendigo Blvd N
North Bend, WA 98045-8945
Phone (425) 209-8216
Other practice location 2
18675 NE 106th St
Redmond, WA 98052-2930
Phone (425) 202-5852
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC61104156 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stable Ground Therapy, LLC | Mental Health | Current | Accepting new patients |
| James Morley Professional Service | Mental Health | Current | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Kirkland, WA
- NPI 1306551973
-
- Mental Health Counselor
- North Bend, WA
- NPI 1467953729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1568034981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 312",
"city": "MEDINA",
"state": "WA",
"postal_code": "980390312",
"telephone_number": "425-233-0352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13305 105TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342041",
"telephone_number": "425-202-5852"
}
],
"practiceLocations": [
{
"address_1": "1309 Bendigo Blvd N",
"address_purpose": "LOCATION",
"city": "North Bend",
"state": "WA",
"postal_code": "980458945",
"country_code": "US",
"telephone_number": "425-209-8216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18675 NE 106th St",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980522930",
"country_code": "US",
"telephone_number": "425-202-5852",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRICKMORE",
"first_name": "ABIGAIL",
"middle_name": "LEIGH",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61104156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.