Organization Active NPI

Crossroads Therapy

  • Mental Health Counselor
  • Lees Summit, MO
National Provider Identifier
1124753348
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CROSSROADS THERAPY
Practice address
529 SE 2ND St
Lees Summit, MO 64063-2694
Phone
(816) 477-3007
Fax
(816) 477-3006
NPI assigned
Jul 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeremiah Hartley, M.A.
Title
Owner
Phone
(816) 838-1808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

529 SE 2ND St
Lees Summit, MO 64063-2694

Mailing address

529 SE 2ND St
Lees Summit, MO 64063-2694
Phone (816) 477-3007

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.Crossroadstherapygroup.com Direct

National Provider Directory

National Provider Directory

Locations

529 SE 2nd St
Lees Summit, MO 64063
Phone (816) 477-3007

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124753348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 SE 2ND ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632694",
            "telephone_number": "816-477-3007",
            "fax_number": "816-477-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 SE 2ND ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632694",
            "telephone_number": "816-477-3007",
            "fax_number": "816-477-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARTLEY",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-838-1808",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Crossroadstherapygroup.com",
            "affiliation": "N",
            "endpointDescription": "Organization website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "529 SE 2nd St",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640632694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lees Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.