JUDY L CROCKETT MA, LPC
NPI 1730645052
Counselor - Professional in Saint Louis, MI

Active since February 11, 2019PECOS EnrolledAccepts Medicare Assignment
115 CHESTNUT ST APT B, SAINT LOUIS, MI 48880(989) 502-2735 Get Directions Write a Review

NPPES record last updated: May 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2026, Oct 9, 2025, Dec 10, 2024 and 1 more (4 updates tracked since 2019).

About Judy L Crockett Ma, Lpc NPPES

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

JUDY L CROCKETT MA, LPC (NPI 1730645052) is an individual professional provider in Saint Louis, Michigan, licensed in Michigan (6401225189) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1730645052
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJUDY L CROCKETTCredential: MA, LPC
Location Address115 CHESTNUT ST APT BSaint Louis, MI 48880-1308
Mailing AddressPo Box 75Saint Louis, MI 48880-0075 · (989) 502-2735
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 11, 2019
Last NPPES UpdateMay 22, 20264 updates tracked since enumeration
NPPES CertifiedMay 22, 2026
✔ NPI 1730645052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401225189
115 CHESTNUT ST APT B, Saint Louis, MI 48880

Secondary Practice Locations 3

Location 11250 E Michigan AveGrayling, MI 49738-7074 · Phone (989) 348-0550
Location 23040 Bourn StLewiston, MI 49756-8134 · Phone (989) 786-4877
Location 3829 N Center Ave Ste 140Gaylord, MI 49735-1598 · Phone (989) 731-7870

Other Identifiers 1

Other6401016698MI · State Ofmichigan

Accepted Insurance

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

Judy L Crockett Ma, Lpc 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 ID345739082
PECOS Enrollment IDI20251031001404
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 Reassignments

2

Medicare enrollment records show Judy Crockett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
2585 W HOUGHTON LAKE DR
Prudenville, MI 48651
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
Family Medicine
100 N ROLAND ST
Mc Bain, MI 49657
  • Reassigned Medicare billing, Michigan enrollment
  • 168 clinicians in this Medicare group

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

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 Judy Crockett's NPI number?

The NPI number for Judy Crockett is 1730645052. It was assigned to this individual provider in the NPPES registry on February 11, 2019.

Where is Judy Crockett located?

Judy Crockett practices at 115 Chestnut St Apt B, Saint Louis, MI 48880. The listed phone number is (989) 502-2735.

What is Judy Crockett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Judy Crockett enrolled in Medicare?

Yes. Judy 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.

Which organizations bill Medicare for Judy Crockett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judy Crockett reassigns Medicare benefits to 2 organizations: Munson Healthcare Grayling (Prudenville, MI) and Munson Healthcare Otsego Memorial Hospital (Mc Bain, MI). Each 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 Judy Crockett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judy Crockett accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Judy Crockett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Judy Crockett was last updated on May 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.