Active NPI
Crossroads Consulting International LLC
- Mental Health Counselor
- Hobe Sound, FL
National Provider Identifier
1184089096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2015-125-0972
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Stuart, FL
- NPI 1366583775
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.