Judy L Crockett, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401225189 Issued in MI

Practice address

115 Chestnut St Apt B
Saint Louis, MI 48880-1308

Phone

(989) 502-2735

NPI assigned

Feb 11, 2019

Last updated

May 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Munson Healthcare Otsego Memorial HospitalGroup PAC ID 8325942535, 126 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Munson Healthcare Grayling

  dba Roscommon Community Health Center

  • Rural Health Clinic/Center
  • Roscommon, MI
  • NPI 1710383351
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Otsego Memorial Hospital

  dba Munson Healthcare OMH Medical Group-Gaylord RHC

  • Rural Health Clinic/Center
  • Gaylord, MI
  • NPI 1164628426
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Grayling

  dba Mio Primary Care

  • Rural Health Clinic/Center
  • Mio, MI
  • NPI 1093349698
  NPD
• Munson Healthcare Grayling

  dba Grayling Community Health Center

  • Rural Health Clinic/Center
  • Grayling, MI
  • NPI 1891191698
  NPD
• Munson Healthcare Otsego Memorial Hospital

  dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey

  • Plastic Surgery Physician
  • Petoskey, MI
  • NPI 1770374530
  NPD
• Munson Healthcare Otsego Memorial Hospital

  dba Munson Healthcare OMH Medical Group-Gaylord

  • General Practice Physician
  • Gaylord, MI
  • NPI 1821064643
  NPD

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1730645052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488800075",
            "telephone_number": "989-502-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 CHESTNUT ST APT B",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488801308",
            "telephone_number": "989-502-2735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497387074",
            "country_code": "US",
            "telephone_number": "989-348-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3040 Bourn St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "MI",
            "postal_code": "497568134",
            "country_code": "US",
            "telephone_number": "989-786-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "829 N Center Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351598",
            "country_code": "US",
            "telephone_number": "989-731-7870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "JUDY",
        "middle_name": "L",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401225189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OFMICHIGAN",
            "identifier": "6401016698",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Saint Louis, MI
• Providers in Saint Louis, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.