CROSSROADS, INC. (NPI# 1730743659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730743659 |
| Entity Type | Organization |
| Organization Name | CROSSROADS, INC. |
| Practice Address |
1845 E Ocotillo Rd Phoenix AZ 85016-1150 |
| Mailing Address |
1700 E Thomas Rd Phoenix AZ 85016-7605 |
| Practice Telephone | 6022635242 |
| Practice Fax Number | 6025954434 |
| Mailing Telephone | 6022635242 |
| Mailing Fax Number | 6025954434 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | CHRIS RILEY (COMPLIANCE OFFICER) |
| Authorized Official Telephone | 6022635242 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Crossroads East Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649818501 | Crossroads, Inc. | Clinic/Center | 2002 E Osborn Rd Ste A, Phoenix, AZ 85016-7236 | 2019-12-11 |
| 1033579941 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 4201 N 16th St Ste 110, Phoenix, AZ 85016-5357 | 2016-03-04 |
| 1588980742 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 1632 E Flower St, Phoenix, AZ 85016-7115 | 2010-04-13 |
| 1669698676 | Crossroads, Inc. | Community/Behavioral Health | 44 East Ramsdell St., New Haven, CT 06515-1140 | 2007-04-18 |
| 1376107292 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 7523 N 35th Ave, Phoenix, AZ 85051-7422 | 2019-04-25 |
| 1659935575 | Crossroads, Inc. | Substance Abuse Rehabilitation Facility | 5116 E Thomas Rd, Phoenix, AZ 85018-7915 | 2019-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | CROSSROADS, INC. | 1424 Houser Street, Muscatine, IA 52761 |
| Washington State Corporations | CROSSROADS, INC. | 2230 7th Ave, Seattle, WA 98121-1902 |
| Massachusetts Corporations | CROSSROADS, INC. | 24 Stub Toe Ln., Sudbury, MA 01776 |
| Street Address |
1845 E OCOTILLO RD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588093116 | Crossroads, Inc | Community Based Residential Treatment Facility, Mental Illness | 1845 E Ocotillo Rd, Phoenix, AZ 85016-1150 | 2013-11-04 |
| 1851814040 | Crossroads East | Substance Abuse Rehabilitation Facility | 1845 E Ocotillo Rd, Phoenix, AZ 85016-1150 | 2017-07-20 |
| 1528489549 | Lee Pioske | Counselor | 1845 E Ocotillo Rd, Phoenix, AZ 85016-1150 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885716 | Global Family LLC | Counselor | 4523 N 92nd Ave, Phoenix, AZ 85037-2450 | 2020-09-15 |
| 1982218772 | Bashar Aldeen | Counselor | 3401 W Country Gables Dr, Phoenix, AZ 85053-4756 | 2020-08-31 |
| 1508478082 | Tahonna Latreise Surrell | Counselor | 3236 E Chandler Blvd Unit 1034, Phoenix, AZ 85048-7281 | 2020-08-17 |
| 1346858883 | Heather Romero | Counselor | 110 W Camelback Rd Ste 200, Phoenix, AZ 85013-2564 | 2020-07-21 |
| 1134747546 | Arcadian Homes, LLC | Counselor | 5924 W Trumbull Rd, Phoenix, AZ 85043-1967 | 2020-07-13 |
| 1902423023 | Danielle Jeanette Le Blanc | Counselor | 3228 W Silver Sage Ln, Phoenix, AZ 85083-5866 | 2020-07-06 |
| 1366060477 | Rising Phoenix Neighborhood | Counselor | 202 E Earll Dr Unit 360-35, Phoenix, AZ 85012-2634 | 2020-07-06 |
| 1043832504 | Candice Marie Isaacson | Counselor | 2911 W Sunnyside Dr, Phoenix, AZ 85029-3302 | 2020-05-07 |
| 1639799356 | Harbor Health | Counselor | 3213 S 66th Ave, Phoenix, AZ 85043-1922 | 2020-04-22 |
| 1083247357 | Edward Scott White | Counselor | 2150 E Bell Rd Unit 1042, Phoenix, AZ 85022-2973 | 2020-02-14 |
| Find all providers in PHOENIX | ||||
Please comment or provide details below to improve the information on CROSSROADS, INC..
| 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.