Individual provider Active NPI

Rebecca Jane Crowley

  • Mental Health Counselor
  • Port Henry, NY
National Provider Identifier
1609218841
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0680104812 Issued in VT
Practice address
56 Elizabeth St
Port Henry, NY 12974-1203
Phone
(802) 377-5306
NPI assigned
Jul 29, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0680104812 VT Primary

Addresses

Primary practice location

56 Elizabeth St
Port Henry, NY 12974-1203

Mailing address

56 Elizabeth St
Port Henry, NY 12974-1203
Phone (802) 377-5306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0680104812VTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Service of Addison County, Inc Single Specialty CurrentSince Jun 18, 2024 Accepting new patients
Habit Opco, LLC Single Specialty Past Accepting new patients
Habit Opco, LLC Past Accepting new patients

Locations

89 Main St
Middlebury, VT 05753
Phone (802) 388-6751

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1609218841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 ELIZABETH ST",
            "city": "PORT HENRY",
            "state": "NY",
            "postal_code": "129741203",
            "telephone_number": "802-377-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 ELIZABETH ST",
            "city": "PORT HENRY",
            "state": "NY",
            "postal_code": "129741203",
            "telephone_number": "802-377-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "REBECCA",
        "middle_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "0680104812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Henry, NY

Sources for this page

Verify at the official NPI Registry.