NPIMap

Organization Active NPI

Crossroads Turning Points Inc

  • Substance Abuse Rehabilitation Facility
  • Pueblo, CO
National Provider Identifier
1104412584
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
CROSSROADS TURNING POINTS INC
Practice address
3500 Baltimore Ave
Pueblo, CO 81008-1543
Phone
(719) 545-1181
Fax
(719) 545-1191
NPI assigned
Dec 18, 2020
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Banafshe' King
Title
Credentialing & Enrollment Spec
Phone
(719) 419-7959

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

3500 Baltimore Ave
Pueblo, CO 81008-1543

Mailing address

4 Montebello Rd
Pueblo, CO 81001-1237
Phone (719) 546-6667

Other identifiers 1

IdentifierTypeStateIssuer
9000187186MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250718001779 CO Part B Supplier - Clinic/Group Practice 1557877412 Receives reassigned benefits from 14 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monte Vista, CO; Walsenburg, CO; Trinidad, CO; Pueblo West, CO; Pueblo, CO; Lamar, CO; Colorado Springs, CO; Alamosa, CO

Other NPIs on the same Medicare enrollment 13

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 13

National Provider Directory

National Provider Directory
Tax ID family
Crossroads' Turning Points16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 10

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": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1104412584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 MONTEBELLO RD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011237",
            "telephone_number": "719-546-6667",
            "fax_number": "719-546-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BALTIMORE AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810081543",
            "telephone_number": "719-545-1181",
            "fax_number": "719-545-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TURNING POINTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "BANAFSHE'",
        "authorized_official_title_or_position": "CREDENTIALING & ENROLLMENT SPEC",
        "authorized_official_telephone_number": "719-419-7959"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000187186",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.