Crossvine Clinical Group, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CROSSVINE CLINICAL GROUP, PLLC

Practice address

140 Wind Chime CT Ste a
Raleigh, NC 27615-6580

Phone

(919) 946-3224

NPI assigned

Sep 7, 2021

Organization subpart

No

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

Authorized official

Name

Holly Blanc MosesNPI 1992976682

Title

Owner

Phone

(919) 813-9415

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Blanc Moses, MS

  • Professional Counselor
  • Raleigh, NC
  • NPI 1992976682
  NPD Authorized official

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1154090876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 WHIPPOORWILL LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093643",
            "telephone_number": "919-813-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WIND CHIME CT STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156580",
            "telephone_number": "919-946-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSVINE CLINICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-07",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "BLANC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-813-9415"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neville Hunter Cross
• Shontray Latisha Cross, LCSWA
• Allison Crossman
• Nadia Josephine Crossno-Rodriguez, MED, LCMHCA, LCASA
• Crossroads Counseling & Mental Health Agency Inc
• Robin Joy Croswell, DDS, MS
• Katherine Crouch, CCC-SLP
• Lekisha Crouch
• Jillian Crouchley, M.D.
• Hannah Crouse, LPCA

• Professional Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.