Individual provider Active NPI

Abigail Leigh Crickmore, LMHC

  • Mental Health Counselor
  • Kirkland, WA
National Provider Identifier
1568034981
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61104156 Issued in WA
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

Updated by the provider on Jul 9, 2024

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 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

LicenseStateTypeSpecialty
MC61104156WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stable Ground Therapy, LLC Mental Health CurrentSince Jan 22, 2023 Accepting new patients
James Morley Professional Service Mental Health CurrentSince Apr 19, 2025 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.

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.

Verify at the official NPI Registry.