Individual provider Active NPI

Keith R Crochiere, LMHC

  • Counselor
  • Bourne, MA
National Provider Identifier
1932807799
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1685 Issued in MA
Practice address
258 Main St Ste B4
Bourne, MA 02532-3251
Phone
(508) 208-9145
Fax
(508) 743-5699
NPI assigned
Feb 21, 2023
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1685 MA Primary

Addresses

Primary practice location

258 Main St Ste B4
Bourne, MA 02532-3251

Mailing address

224 S Walker St
Taunton, MA 02780-4326
Phone (508) 208-9145

Other practice location 1

224 S Walker St
Taunton, MA 02780-4326
Phone (508) 208-9145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20240215000137 MA Practitioner - Mental Health Counselor 3577907823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Limbic Resources IncGroup PAC ID 8325359151, 12 clinicians

Practice addresses (Care Compare)

119 Cedar St
Hyannis, MA 02601-3011
Phone (774) 470-4535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1685MAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Limbic Resources Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

258 Main St
Ste B4
Buzzards Bay, MA 02532
Phone (508) 743-5678

119 Cedar St
Hyannis, MA 02601
Phone (508) 771-2198

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1676937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1932807799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WALKER ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027804326",
            "telephone_number": "508-208-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 MAIN ST STE B4",
            "city": "BOURNE",
            "state": "MA",
            "postal_code": "025323251",
            "telephone_number": "508-208-9145",
            "fax_number": "508-743-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 S Walker St",
            "address_purpose": "LOCATION",
            "city": "Taunton",
            "state": "MA",
            "postal_code": "027804326",
            "country_code": "US",
            "telephone_number": "508-208-9145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROCHIERE",
        "first_name": "KEITH",
        "middle_name": "R",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-21",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "1685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourne, MA

Sources for this page

Verify at the official NPI Registry.