KELLY CROCKETT (NPI# 1215457155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215457155 |
| Entity Type | Individual |
| Full Name | KELLY CROCKETT |
| Practice Address |
45r Washington St Norwell MA 02061-1715 |
| Mailing Address |
76 Accord Park Dr Norwell MA 02061-1606 |
| Practice Telephone | (781) 923-0900 |
| Mailing Telephone | 7819230900 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 45r Washington St, Norwell, MA 020611715 | (781) 923-0900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255475067 | Kelly Crockett | Specialist/Technologist | 1270 Kings Hwy, Lewes, DE 19958-1735 | 2007-02-16 |
| Street Address |
45R WASHINGTON ST |
| City | NORWELL |
| State | MA |
| Zip Code | 02061-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972056927 | Diana Tran | Behavioral Analyst | 45r Washington St, Norwell, MA 02061-1715 | 2016-07-26 |
| 1902327588 | Kevin Tran | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1932620515 | Janine Salameh | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1730600313 | Victoria Simas | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1992226567 | Huyen Nguyen | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1356862924 | Katelyn Parker | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1922529502 | Keenley Gousse | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1174044747 | Rubens Paul | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1649791229 | Ana Soares | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1851812432 | Lydia Points | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215561113 | Adaptive Design for Living, LLC | Occupational Therapist | 53 Cushing Hill Road, Norwell, MA 02061 | 2020-02-28 |
| 1578116471 | Alyssa Beth Matthews | Behavior Technician | Proven Behavioral Solutions, 80 Washington Street Building P55, Norwell, MA 02061 | 2019-07-19 |
| 1225524986 | John Michael Mullen | Counselor | 384 Washington Street, Norwell, MA 02061 | 2018-07-06 |
| 1669973947 | Brittany White | Counselor | 200 Corwainer Dr, Suite 200, Norwell, MA 02061 | 2018-02-22 |
| 1720525470 | Nathaniel Chan Dmd PC | Dentist | 353 Washington Street, Norwell, MA 02061 | 2017-01-19 |
| 1053786707 | Proven Behavior Solutions, LLC | Behavioral Analyst | 80 Washington St Ste P55, Norwell, MA 02061 | 2015-12-07 |
| 1922405547 | Elizabeth Goggin | Speech-Language Pathologist | 329 Washington Street, Royal Norwell, Norwell, MA 02061 | 2014-11-25 |
| 1215332473 | Nicole Cisneros Pegher | Midwife | 164 Washington St Ste 104, Norwell, MA 02061 | 2014-10-30 |
| 1073918348 | Hingham Pediatric Dentistry, PC | Dentist | 45 Pond Street, Norwell, MA 02061 | 2014-10-29 |
| 1669874954 | Verus Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 40 Accord Park Dr, Suite 104, Norwell, MA 02061 | 2014-09-18 |
| Find all providers in zip 02061 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902327588 | Kevin Tran | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1932620515 | Janine Salameh | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1730600313 | Victoria Simas | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1093236671 | Felisha Thomas | Marriage & Family Therapist | 76 Accord Park Dr, Norwell, MA 02061-1606 | 2017-07-04 |
| 1992226567 | Huyen Nguyen | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1356862924 | Katelyn Parker | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1922529502 | Keenley Gousse | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1174044747 | Rubens Paul | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1649791229 | Ana Soares | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| 1851812432 | Lydia Points | Marriage & Family Therapist | 45r Washington St, Norwell, MA 02061-1715 | 2017-07-04 |
| Find all providers in NORWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.