NPIMap

Organization Active NPI

Crossroads Associates

  • Community/Behavioral Health Agency
  • Pembroke, NC
National Provider Identifier
1013241751
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROSSROADS ASSOCIATES
Practice address
406 Blaine St
Pembroke, NC 28372-9640
Phone
(910) 521-8903
Fax
(910) 521-2141
NPI assigned
Sep 29, 2009
Last updated
Sep 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Authorized official

Name
Mrs. Velma Lowery Carter
Title
Ceo
Phone
(910) 521-8903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

406 Blaine St
Pembroke, NC 28372-9640

Mailing address

406 Blaine St
Pembroke, NC 28372-9640
Phone (910) 521-8903

Other identifiers 1

IdentifierTypeStateIssuer
8301740MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Associates7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254182400000",
    "number": "1013241751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BLAINE ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729640",
            "telephone_number": "910-521-8903",
            "fax_number": "910-521-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BLAINE ST",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283729640",
            "telephone_number": "910-521-8903",
            "fax_number": "910-521-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "VELMA",
        "authorized_official_middle_name": "LOWERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-521-8903",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301740",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.