Carolyn Crotty, ATR, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0117129 Issued in VT

Practice address

200 Main St Ste 14
Burlington, VT 05401-8350

Phone

(781) 771-6119

NPI assigned

Aug 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1730555095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CATHERINE ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MAIN ST STE 14",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018350",
            "telephone_number": "781-771-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "CAROLYN",
        "credential": "ATR, LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VT",
            "license": "0970081292",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8954",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0117129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029432",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loreen R Croker
• Amy Cronin
• Kristin Porto Crosby, M.D.
• Samantha Crosby
• Jessica W. Crothers, M.D.
• Raymond A Crowthers IV, DO
• Stephanie Cryer, LICSW
• Jean Marie Cullon, PHYSICAL THERAPIST
• Anthony Cunavelis
• Michelle Cunning, LICSW

• Mental Health Counselor in Burlington, VT
• Providers in Burlington, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.