Organization Active NPI

Cross Family Counseling, PLLC

  • Mental Health Counselor
  • Gulf Breeze, FL
National Provider Identifier
1063934560
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PMH1508 Issued in FL
Legal business name
CROSS FAMILY COUNSELING, PLLC
Practice address
913 Gulf Breeze Pkwy Ste 26a
Gulf Breeze, FL 32561-4731
Phone
(850) 323-0674
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Tiffany Cross
Title
Counselor/Owner
Phone
(850) 323-0674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X PMH1508 FL Primary

Addresses

Primary practice location

913 Gulf Breeze Pkwy Ste 26a
Gulf Breeze, FL 32561-4731

Mailing address

1710 Marseille Dr
Gulf Breeze, FL 32563-9004
Phone (850) 323-0674

National Provider Directory

National Provider Directory

Locations

913 Gulf Breeze Pkwy
Ste 26A
Gulf Breeze, FL 32561
Phone (850) 323-0674

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1063934560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 MARSEILLE DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325639004",
            "telephone_number": "850-323-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 GULF BREEZE PKWY STE 26A",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614731",
            "telephone_number": "850-323-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS FAMILY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "850-323-0674"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "PMH1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.