Organization Active NPI

Crossroads Consulting International LLC

  • Mental Health Counselor
  • Hobe Sound, FL
National Provider Identifier
1184089096
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2015-125-0972 Issued in FL
Legal business name
CROSSROADS CONSULTING INTERNATIONAL LLC
Practice address
8930 SE Bridge Rd
Hobe Sound, FL 33455-5311
Phone
(772) 675-2110
Fax
(772) 675-2264
NPI assigned
Dec 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Debra Lawrence, LCSW
Title
Official
Phone
(772) 675-2110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2015-125-0972 FL Primary

Addresses

Primary practice location

8930 SE Bridge Rd
Hobe Sound, FL 33455-5311

Mailing address

8930 SE Bridge Rd
Hobe Sound, FL 33455-5311
Phone (772) 675-2110

Other practice location 1

11704 SE Dixie Hwy
Hobe Sound, FL 33455-5457
Phone (772) 675-2110 ext. 3

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170512000429 FL Part B Supplier - Clinic/Group Practice 5799062154 Receives reassigned benefits from 1 practitioner
Practice locations: Tequesta, FL

National Provider Directory

National Provider Directory

Locations

11704 SE Dixie Hwy
Hobe Sound, FL 33455
Phone (772) 675-2110

8930 SE Bridge Rd
Hobe Sound, FL 33455
Phone (772) 485-9344

308 Tequesta Dr
Ste 23
Tequesta, FL 33469
Phone (772) 675-2110

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1184089096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 SE BRIDGE RD",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555311",
            "telephone_number": "772-675-2110",
            "fax_number": "772-675-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 SE BRIDGE RD",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555311",
            "telephone_number": "772-675-2110",
            "fax_number": "772-675-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11704 SE Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Hobe Sound",
            "state": "FL",
            "postal_code": "334555457",
            "country_code": "US",
            "telephone_number": "772-675-2110 x3",
            "fax_number": "772-324-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS CONSULTING INTERNATIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "772-675-2110",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "2015-125-0972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobe Sound, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.