Crossroads Communities

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CROSSROADS COMMUNITIES

Practice address

1875 Stoltz Hill Rd
Lebanon, OR 97355

Phone

(541) 405-4210

NPI assigned

Oct 28, 2024

Organization subpart

No

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

Authorized official

Name

Michael Couch

Title

Executive Director

Phone

(541) 405-4210

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1194547695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W GRANT STREET",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "97355",
            "telephone_number": "541-405-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 STOLTZ HILL RD",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "97355",
            "telephone_number": "541-405-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COMMUNITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-405-4210"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Covell, LMT
• Debra A Cowart, CPM, LDM
• Andrew Emerson Cox
• Zachary Kenneth Creitz
• Carly Ann Mayumi Crider, DO
• CSL - Lebanon, LLC (Meadowlark Senior Living)
• Shellany Jean Cushner, LCSW
• Lisa-Paula Paixao Da Silva, MSW
• Bridget Walsh Dahlberg
• Tawnya Dailey, L.AC.

• Case Management Agency in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Case Management Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.