MS. PATRICIA CROCKETT LMHC, SOTP
NPI 1205244936
Counselor - Mental Health in University Place, WA

Active since July 25, 2014PECOS EnrolledAccepts Medicare Assignment
4113 BRIDGEPORT WAY W STE F, UNIVERSITY PLACE, WA 98466(253) 444-5450(253) 444-5451 Get Directions Write a Review

NPPES record last updated: September 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Patricia Crockett Lmhc, Sotp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. PATRICIA CROCKETT LMHC, SOTP (NPI 1205244936) is an individual mental health provider in University Place, Washington, licensed in Washington (LH00008583) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bremerton, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1205244936
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. PATRICIA CROCKETTCredential: LMHC, SOTP
Location Address4113 BRIDGEPORT WAY W STE FUniversity Place, WA 98466-4325
Mailing Address4113 Bridgeport Way W Ste FUniversity Place, WA 98466-4325 · (253) 444-5450 · Fax (253) 444-5451
Fax(253) 444-5451
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 25, 2014
Last NPPES UpdateSeptember 28, 2025
NPPES CertifiedSeptember 28, 2025
NPI 1205244936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · LH00008583
Also ListedCounselorTaxonomy 101Y00000X · License FC00000178 (WA)
4113 BRIDGEPORT WAY W STE F, University Place, WA 98466

Secondary Practice Location 1

Location 12540 Cascades Pass Blvd Ste 203Bremerton, WA 98312-2139 · Phone (253) 509-3507 · Fax (253) 444-5450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Patricia Crockett Lmhc, Sotp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527551613
PECOS Enrollment IDI20251209004227
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
4113 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA 98466
Counselor (Mental Health)
4113 BRIDGEPORT WAY W STE F
UNIVERSITY PL, WA 98466
Counselor
4113 BRIDGEPORT WAY W STE F
UNIVERSITY PLACE, WA 98466

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Crockett's NPI number?

The NPI number for Patricia Crockett is 1205244936. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Where is Patricia Crockett located?

Patricia Crockett practices at 4113 Bridgeport Way W Ste F, University Place, WA 98466. The listed phone number is (253) 444-5450.

What is Patricia Crockett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Patricia Crockett enrolled in Medicare?

Yes. Patricia Crockett is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Patricia Crockett was last updated on September 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.