Individual provider Active NPI

Taylor Marie Crossley, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Flint, MI
National Provider Identifier
1679125363
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704316158 Issued in MI
Practice address
6054 Beecher Rd
Flint, MI 48532-2001
Phone
(810) 447-9736
NPI assigned
Jul 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704316158 MI Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X 4704316158 MI

Addresses

Primary practice location

6054 Beecher Rd
Flint, MI 48532-2001

Mailing address

5154 Miller Rd Ste I
Flint, MI 48507-1069
Phone (810) 406-9125

Other practice location 1

5154 Miller Rd Ste I
Flint, MI 48507-1069
Phone (810) 228-3164

Other names 1

  • Taylor Marie Beach Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address croslesywellnesscenter2022@outlook.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190807003439 MI Practitioner - Nurse Practitioner 3971830365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5154 Miller Rd
Suite I
Flint, MI 48507-1069
Phone (810) 228-3164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1891833810 CurrentSince Jul 12, 2019 Accepting new patients
Blue Water Mental Health Clinic CurrentSince Jul 12, 2019 Accepting new patients
Stable Beginnings Psychiatric/Mental Health Current Accepting new patients
Crossley Wellness Center Psychiatric/Mental Health CurrentSince May 15, 2022 Accepting new patients

Locations

5154 Miller Rd
Ste I
Flint, MI 48507
Phone (810) 228-3164

1501 Krafft Rd
Fort Gratiot, MI 48059
Phone (810) 985-5125

1349 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 391-0900

1349 S Rochester Rd
Ste 220
Rochester Hills, MI 48307
Phone (248) 650-6130

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": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1679125363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD STE I",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071069",
            "telephone_number": "810-406-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6054 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322001",
            "telephone_number": "810-447-9736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5154 Miller Rd Ste I",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485071069",
            "country_code": "US",
            "telephone_number": "810-228-3164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSSLEY",
        "first_name": "TAYLOR",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704316158",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704316158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "croslesywellnesscenter2022@outlook.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6054 Beecher rd",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "BEACH",
            "middle_name": "MARIE",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.