Chevelle Jolene Crofoot, LLPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451024308 Issued in MI

Practice address

3386 W Houghton Lake Dr
Prudenville, MI 48651-9700

Phone

(989) 312-1800

Fax

(989) 432-6400

NPI assigned

May 28, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Balance Mental Health & Wellness PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Prudenville, MI
  • NPI 1629797857
  NPD

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1811780158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5241 PEYTON PKWY",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486258547",
            "telephone_number": "989-630-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3386 W HOUGHTON LAKE DR",
            "city": "PRUDENVILLE",
            "state": "MI",
            "postal_code": "486519700",
            "telephone_number": "989-312-1800",
            "fax_number": "989-432-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFOOT",
        "first_name": "CHEVELLE",
        "middle_name": "JOLENE",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451024308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Commyn
• David Bruce Cornell, RPH
• Jessica Nichole Costanza
• Ashlyn Cox
• Summer Jean Cox
• Erika Leigh Cullen
• David L. Hanson DDS.,PC.
• Alyssa Cassidy Davies
• Nettie M Deman
• Kelly V DO

• Mental Health Counselor in Prudenville, MI
• Providers in Prudenville, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.