CROSSROADS CENTER OF FREDERICK LLC (NPI# 1508354853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508354853 |
| Entity Type | Organization |
| Organization Name | CROSSROADS CENTER OF FREDERICK LLC |
| Other Organization Name | WESTMINSTER RECOVERY CENTER |
| Practice Address |
77 E Main St Westminster MD 21157-5037 |
| Practice Telephone | 4108578448 |
| Practice Fax Number | 4108570239 |
| Mailing Telephone | 4108578448 |
| Mailing Fax Number | 4108570239 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Authorized Official Name | CHRIS G LUECKING (COO) |
| Authorized Official Telephone | 3016961950 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH000400 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 562118600 | 05 |
| Other Name | Type Code |
|---|---|
| Westminster Recovery Center | Doing Business As Name - Organization |
| Street Address |
77 E MAIN ST |
| City | WESTMINSTER |
| State | MD |
| Zip Code | 21157-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972730596 | Stephnie M Thomas | Counselor | 77 E Main St, Suite 204, Westminster, MD 21157-5037 | 2009-06-22 |
| 1952871956 | Amanda Claire Burrill | Counselor | 77 E Main St, Westminster, MD 21157-5037 | 2018-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523083 | Krista Stanzione | Counselor | 10 Distillery Drive, Ste 200, Westminster, MD 21157 | 2020-09-16 |
| 1487263893 | Jordan Butler | Counselor | Mcdaniel College Wellness Center, 2 College Hill, Westminster, MD 21157 | 2020-07-31 |
| 1558920991 | Ashton Nicole Burnham | Social Worker | 10 Distillery Dr Suite 200, Westminster, MD 21157 | 2019-06-10 |
| 1265903173 | Kathy Denise Omara | Speech-Language Pathologist | 125 North Court Street, Westminster, MD 21157 | 2018-12-17 |
| 1013419837 | Ericka M Walters | Social Worker | 77-81 E. Main Street, Suite 406, Westminster, MD 21157 | 2018-03-07 |
| 1982146353 | Access Carroll, LLC | Clinic/Center | 10 Distillery Drive, Suite 200, Westminster, MD 21157 | 2016-11-16 |
| 1619327293 | Bh Brightview Westminster Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 505 High Acre Drive, Westminster, MD 21157 | 2016-06-15 |
| 1710362926 | Laura Coulter | Social Worker | 280 E Main St Ste 202, Westminster, MD 21157 | 2015-07-29 |
| 1205213436 | Carroll County Health Department | Public Health or Welfare | 290 S. Center Street, Westminster, MD 21157 | 2015-04-27 |
| 1972990489 | Ivy Smink | Registered Nurse | 10 Distillery Lane Suite 200, Carroll County Health Department Bureau of Prevention W, Westminster, MD 21157 | 2015-04-22 |
| Find all providers in zip 21157 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336799469 | A.w. Holdings of Maryland, Inc. | Community/Behavioral Health | 532 Baltimore Blvd Ste 210, Westminster, MD 21157-6128 | 2019-09-20 |
| 1770066151 | Kim Renea Draughon | Community/Behavioral Health | 8649 W 95th Dr, Westminster, CO 80021-5322 | 2018-09-11 |
| 1073055166 | Gretchen's Gifts of Love, Inc. | Community/Behavioral Health | 8785 W 95th Ave, Westminster, CO 80021-4340 | 2016-11-07 |
| 1215382064 | Set Apart Treatment Inc. | Community/Behavioral Health | 3380 W 72nd Ave, Westminster, CO 80030-5332 | 2016-04-29 |
| 1992173108 | Eagle Counseling Services, Inc. | Community/Behavioral Health | 7131 Irving St, Suite 201, Westminster, CO 80030-5326 | 2015-09-03 |
| 1326436932 | 1st Alliance Treatment Services | Community/Behavioral Health | 8787 Turnpike Dr Ste 200, Westminster, CO 80031-4300 | 2015-01-05 |
| 1033402433 | Takeflight Counseling, LLC | Community/Behavioral Health | 4800 W 80th Ave # 260, Westminster, CO 80030-4400 | 2011-05-18 |
| 1740401793 | Children and Youth Services | Community/Behavioral Health | 14140 Beach Blvd., Ste 155, Westminster, CA 92683 | 2007-05-01 |
| 1356963581 | Angela Greene, LLC | Community/Behavioral Health | 622 Pond View Ct, Westminster, MD 21158-4429 | 2020-05-11 |
| 1417460791 | Devereux Cleo Wallace | Community/Behavioral Health | 8405 Church Ranch Blvd, Westminster, CO 80021-3918 | 2017-11-09 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 21157 |
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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.