Individual provider Active NPI

Anton Cross MSW, LSW, LSW,MSW

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1184112997
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
S.1600080 Issued in OH
Practice address
2301 Scranton Rd
Cleveland, OH 44113-4311
Phone
(216) 273-6998
NPI assigned
Apr 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X S.1600080 OH Primary

Addresses

Primary practice location

2301 Scranton Rd
Cleveland, OH 44113-4311

Mailing address

20259 Lorain Rd Apt 201
Fairview Park, OH 44126-3526
Phone (216) 956-6973

Other identifiers 1

IdentifierTypeStateIssuer
S.1600080OtherOHLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1600080OHMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1184112997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20259 LORAIN RD APT 201",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263526",
            "telephone_number": "216-956-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 SCRANTON RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441134311",
            "telephone_number": "216-273-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS MSW, LSW",
        "first_name": "ANTON",
        "credential": "LSW,MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "S.1600080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "S.1600080",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.