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MICHAEL MCCRORY
NPI 1558092460
Counselor - Mental Health in Star Lake, NY

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment
1014 OSWEGATCHIE TRAIL RD, STAR LAKE, NY 13690(315) 848-5404(315) 848-3285 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Mccrory NPPES

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

MICHAEL MCCRORY (NPI 1558092460) is an individual mental health provider in Star Lake, New York and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1558092460
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL MCCRORY
Location Address1014 OSWEGATCHIE TRAIL RDStar Lake, NY 13690-3143
Mailing Address1014 Oswegatchie Trail RdStar Lake, NY 13690-3143 · (315) 848-5404 · Fax (315) 848-3285
Phone(315) 848-5404
Fax(315) 848-3285
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 21, 2022
Last NPPES UpdateDecember 19, 2023
NPPES CertifiedDecember 19, 2023
✔ NPI 1558092460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1014 OSWEGATCHIE TRAIL RD, Star Lake, NY 13690
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Mccrory 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 ID2961845334
PECOS Enrollment IDI20240213002499
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Mccrory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clifton-Fine Healthcare Corporation
Same address
Rural
1014 OSWEGATCHIE TRAIL RD
Star Lake, NY 13690
  • Reassigned Medicare billing, New York enrollment
  • 22 clinicians in this Medicare group
NPI 1235184649 (315) 848-3351

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

CLIFTON-FINE HEALTHCARE CORPORATION
General Acute Care Hospital (Rural)
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY 13690
St. Lawrence County (315) 848-3351
MR. JEREMY LOVING PA-C
Physician Assistant
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY 13690
St. Lawrence County (315) 848-3351
DR. DANIEL ERNEST MORGAN D.O.
Internal Medicine
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY 13690
St. Lawrence County (315) 848-5404
CLIFTON-FINE HEALTHCARE CORPORATION
Early Intervention Provider Agency
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY 13690
St. Lawrence County (315) 848-4260
CASSANDRA HART
Nurse Practitioner (Family)
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY 13690
St. Lawrence County (315) 848-3351
DR. DAISY JAGANATHAN MD
Internal Medicine
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY 13690
St. Lawrence County (315) 848-3351
MELISSA STREETER PTA
Physical Therapy Assistant
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY 13690
St. Lawrence County (315) 848-3351
DR. LORI A LUNDBERG DPM
Podiatrist
1014 OSWEGATCHIE TRAIL RD
STAR LAKE, NY 13690
St. Lawrence County (315) 848-5404

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 Michael Mccrory's NPI number?

The NPI number for Michael Mccrory is 1558092460. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Michael Mccrory located?

Michael Mccrory practices at 1014 Oswegatchie Trail Rd, Star Lake, NY 13690. The listed phone number is (315) 848-5404.

What is Michael Mccrory's specialty?

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

Is Michael Mccrory enrolled in Medicare?

Yes. Michael Mccrory 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.

Which organization bills Medicare for Michael Mccrory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mccrory reassigns Medicare benefits to Clifton-Fine Healthcare Corporation (Star Lake, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Mccrory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Mccrory was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.