Crossroads Family Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-12149 Issued in AZ

Legal business name

CROSSROADS FAMILY COUNSELING CENTER, LLC

Practice address

4614 E Shea Blvd
Phoenix, AZ 85028-3081

Phone

(602) 316-7134

NPI assigned

Mar 27, 2006

Last updated

Feb 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Travis Eugene Frye, MA, LPCNPI 1366410029

Title

Owner and Founder

Phone

(623) 680-3486

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, and the practitioner matching its NPPES authorized official.

• Travis Eugene Frye, LPC

  • Mental Health Counselor
  • Phoenix, AZ
  • NPI 1366410029
  NPD (past) Authorized official

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1154381671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39737 N HIGH NOON WAY",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850862376",
            "telephone_number": "623-551-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 E SHEA BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283081",
            "telephone_number": "602-316-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER AND FOUNDER",
        "authorized_official_telephone_number": "623-680-3486",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crossroads Community Health
• Crossroads Detox (Crossroads, Inc. - Detox)
• Crossroads East
• Crossroads East Outpatient (Crossroads East Counseling Center)
• Crossroads East Sabg
• Crossroads for Women
• Crossroads for Women
• Crossroads for Women
• Crossroads Integrated Care Osborn (Crossroads 360 Community Care Clinic-Osborn)
• Crossroads Midtown

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.