Crossroads Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CROSSROADS HEALTH

Practice address

8445 Munson Road
Mentor, OH 44060

Phone

(440) 255-1700

Fax

(440) 205-2417

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Donna Piunno

Title

Billing Director

Phone

(440) 255-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Crossroads Lake County Adolescent Counseling Service Former legal business name

Tax ID family

Crossroads Health Pharmacy5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Crossroads Health

  • Federally Qualified Health Center (FQHC)
  • Mentor, OH
  • NPI 1093307654
  NPD tax ID
• Crossroads Health

  • Community/Retail Pharmacy
  • Mentor, OH
  • NPI 1437733169
  NPD tax ID
• Crossroads Health

  • Addiction (Substance Use Disorder) Counselor
  • Mentor, OH
  • NPI 1518226075
  NPD tax ID
• Willow Glen

  • Professional Counselor
  • Cleveland, OH
  • NPI 1518843853
  NPD tax ID

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1154680627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8445 MUNSON ROAD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-255-1700",
            "fax_number": "440-205-2417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 MUNSON ROAD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "44060",
            "telephone_number": "440-255-1700",
            "fax_number": "440-205-2417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30800 Chagrin Blvd",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441245925",
            "country_code": "US",
            "telephone_number": "216-591-0324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9220 Mentor Ave",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440606412",
            "country_code": "US",
            "telephone_number": "440-354-9924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "PIUNNO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "440-255-1700"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864093",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Lake County Adolescent Counseling Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jeffrey M Criss
• Javonna L Crook, LPC
• Telisa Cross, LPCC
• Crossroads
• Crossroads Health
• Crossroads Health
• Crossroads Health
• Crossroads Health
• Emily Ann Crtalic, OTR/L
• Jacquelyn Cruikshank, RN

• Community/Behavioral Health Agency in Mentor, OH
• Providers in Mentor, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.