NPIMap

Organization Active NPI

Crossroads Recovery Center, Incorporated

  • Counselor
  • Marion, NC
National Provider Identifier
1003094780
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4731 Issued in NC
Legal business name
CROSSROADS RECOVERY CENTER, INCORPORATED
Practice address
440 E Court St
Marion, NC 28752-1864
Phone
(828) 659-8626
Fax
(828) 659-6383
NPI assigned
Feb 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William Hollis Potter, LPCNPI 1598718777
Title
President
Phone
(828) 659-8626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X 4731 NC Primary

Addresses

Primary practice location

440 E Court St
Marion, NC 28752-1864

Mailing address

PO Box 1864
Marion, NC 28752-1864
Phone (828) 659-8626

National Provider Directory

National Provider Directory

Locations

440 E Court St
Marion, NC 28752
Phone (828) 659-8626

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1003094780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1864",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287521864",
            "telephone_number": "828-659-8626",
            "fax_number": "828-659-6383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E COURT ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287521864",
            "telephone_number": "828-659-8626",
            "fax_number": "828-659-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS RECOVERY CENTER, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HOLLIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-659-8626",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NC",
            "license": "4731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.