Crossroads Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CROSSROADS THERAPY PLLC

Practice address

600 22ND Ave NW Ste 2
Minot, ND 58703-0986

Phone

(701) 818-7727

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Brenna Lynn Thompson, LCSWNPI 1770063638

Title

Licensed Clinical Social Worker/Own

Phone

(701) 818-7727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 1

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

• Brenna Lynn Thompson, LCSW

  • Mental Health Counselor
  • Minot, ND
  • NPI 1770063638
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570579200000",
    "number": "1164064341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 7TH ST NW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587031315",
            "telephone_number": "701-818-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 22ND AVE NW STE 2",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587030986",
            "telephone_number": "701-818-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2019-10-09",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER/OWN",
        "authorized_official_telephone_number": "701-818-7727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Michelle Crosby, NP-C
• Aubrey N Crosby
• Jesse Crosby, LCAC
• Kimberlee Joy Crosby
• Crossover Health Medical Group
• Blendi Cumani, MD
• Stephanie Cummins
• Cusa Es, LLC Dba Taxi 9000 Minot
• Cassandra Czerwonka, CASE MANAGER
• Amanda Daggett, PMHNP

• Clinical Social Worker in Minot, ND
• Providers in Minot, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.