CROSSROADS COUNCELING SERVICES LLC (NPI# 1881010288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881010288 |
| Entity Type | Organization |
| Organization Name | CROSSROADS COUNCELING SERVICES LLC |
| Practice Address |
99 Village Dr Suite 18-4 Jacksonville NC 28546-7067 |
| Practice Telephone | 9192259315 |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |
| Authorized Official Name | DR. DEJUAN J. LUNDY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9192259315 |
| Authorized Official Credential | PHD, LPC, LCAS-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
99 VILLAGE DR SUITE 18-4 |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-7067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952452179 | Jacksonville Oriental Medicine Center | Acupuncturist | 99 Village Dr, Suite 16, Jacksonville, NC 28546-7067 | 2007-01-15 |
| 1376938191 | Anew Hearing Care, LLC | Specialist | 99 Village Dr, Suite 10, Jacksonville, NC 28546-7067 | 2015-03-30 |
| 1275946741 | Crossroads Therapeutic Services | Counselor | 99 Village Dr, Suite 18-4, Jacksonville, NC 28546-7067 | 2014-06-03 |
| 1235410325 | Diana Chun Lin | Acupuncturist | 99 Village Dr, Suite 16, Jacksonville, NC 28546-7067 | 2011-09-01 |
| 1740569375 | Terri Munoz | Massage Therapist | 99 Village Dr, Suite 14, Jacksonville, NC 28546-7067 | 2011-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805322 | Ashley Evans | Counselor | 358 Hunting Green Dr, Jacksonville, NC 28546-9129 | 2020-09-11 |
| 1780298133 | Aurora Health Services LLC | Counselor | 25 North Market Street, 1st Floor, Jacksonville, FL 32202-3220 | 2020-09-03 |
| 1083228456 | Andrea Marie Baxter | Counselor | 1401 Riverplace Blvd Apt 1813, Jacksonville, FL 32207-9098 | 2020-09-03 |
| 1487203683 | Adel Said | Counselor | 1225 W Beaver St Ste 2015, Jacksonville, FL 32204-1414 | 2019-09-10 |
| 1871141838 | Anton Daran Armstrong | Counselor | 921 N. Davis St. Bldg. B, Suite 350, Jacksonville, FL 32209 | 2019-09-03 |
| 1659931541 | Her Counseling and Wellness | Counselor | 2b N Valley Dr, Jacksonville, AR 72076-9298 | 2019-06-13 |
| 1861050858 | Heather Jean Gould | Counselor | 2126 N 1st St Ste J, Jacksonville, AR 72076-2868 | 2019-06-04 |
| 1083174627 | Roberta Martin | Counselor | 355 E 46th St, Jacksonville, FL 32208-5482 | 2019-03-20 |
| 1790259489 | Latanya Renee Maynard | Counselor | 1131 W 32nd St, Jacksonville, FL 32209-4094 | 2019-01-15 |
| 1942779301 | Avie Moore Lewis | Counselor | 921 N Davis St Ste 350, Jacksonville, FL 32209-6804 | 2018-11-15 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on CROSSROADS COUNCELING SERVICES LLC.
| 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.