MICHELLE LEE LOUCRAFT – Mental Health Counselor, NPI 1104507201

MICHELLE LEE LOUCRAFT is a healthcare provider. based in Lebanon, Connecticut. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6519 (CT). The NPI Number for MICHELLE LEE LOUCRAFT is 1104507201

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE LEE LOUCRAFT
NPI
1104507201
Phone
(860) 266-0241
Address
5 CARD ST
Enumeration Date
31 July 2023
Last Update Date
31 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8609286541
Graduation Year
2023 (3 years ago)
PAC ID
3577062199
Group Practice PAC ID
5092773549
Professional Enrollment ID
I20250819004374
Address ID
CT062601836PU320XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

818 MENTAL HEALTH COUNSELOR in CT

Provider Addresses for MICHELLE LEE LOUCRAFT

  • 5 CARD ST

    LEBANON, CT 062491011

    Phone: (860) 266-0241

    Type: Mailing

  • 320 POMFRET ST

    PUTNAM, CT 062601836

    Phone: (860) 963-6385

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250819004374IMental Health CounselorCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06249)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092773549View full group profile
NameSpecialtyState
Clinical Social WorkerCT
-CT
Mental Health CounselorCT
Psychiatry, NeuropsychiatryCT
Clinical Social WorkerCT
Medical Oncology, Hematology/OncologyRI
-CT
Psychiatry, Geriatric PsychiatryCT
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant CardiologyCT
Mental Health CounselorCT

Reviews

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Frequently asked questions

Where can patients find MICHELLE LEE LOUCRAFT's NPI?
You can confirm MICHELLE LEE LOUCRAFT with NPI 1104507201; it appears in the national provider directory.
Is MICHELLE LEE LOUCRAFT active in the national directory?
MICHELLE LEE LOUCRAFT's public NPI profile is in an active state.
What does MICHELLE LEE LOUCRAFT treat or focus on?
Patients typically see MICHELLE LEE LOUCRAFT under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place MICHELLE LEE LOUCRAFT?
The snapshot lists Lebanon, Connecticut for MICHELLE LEE LOUCRAFT; download NPPES for the complete set.
How can I contact MICHELLE LEE LOUCRAFT?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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