NPIMap

Organization Active NPI

Crossroads Center of Frederick LLC

  • Community/Behavioral Health Agency
  • Frederick, MD
National Provider Identifier
1083068563
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROSSROADS CENTER OF FREDERICK LLC
Practice address
1890 N Market St Ste 301
Frederick, MD 21701-3033
Phone
(301) 696-1950
Fax
(301) 698-2661
NPI assigned
Apr 20, 2016
Last updated
Nov 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Christopher Gerard Luecking
Title
Business Manager
Phone
(301) 696-1950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 06287 MD
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1890 N Market St Ste 301
Frederick, MD 21701-3033

Mailing address

1890 N Market St Ste 301
Frederick, MD 21701-3033
Phone (301) 696-1950

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Center of Frederick LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1890 N Market St
Ste 301
Frederick, MD 21701
Phone (301) 696-1950

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1083068563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 N MARKET ST STE 301",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013033",
            "telephone_number": "301-696-1950",
            "fax_number": "301-698-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 N MARKET ST STE 301",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217013033",
            "telephone_number": "301-696-1950",
            "fax_number": "301-698-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CENTER OF FREDERICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "LUECKING",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "301-696-1950"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "06287",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.