Simon Terry Cross, LCDCI

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

61202 Issued in TX

Practice address

200 Corporate Dr
Midland, TX 79705-4621

Phone

(432) 618-0028

Fax

(432) 620-8220

NPI assigned

Sep 18, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Springboard Center

  • Substance Abuse Rehabilitation Facility
  • Midland, TX
  • NPI 1619118189
  NPD (past)

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

{
    "created_epoch": "1726617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1194552612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 STAGHORN DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797652595",
            "telephone_number": "432-813-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CORPORATE DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054621",
            "telephone_number": "432-618-0028",
            "fax_number": "432-620-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSS",
        "first_name": "SIMON",
        "middle_name": "TERRY",
        "name_prefix": "Mr.",
        "credential": "LCDCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-18",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "61202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cranio Mandibular Affiliates
• Stephanie Crawford, FNP-C
• Donald Edwin Crockett Jr., MD
• Charles Cropper, MD, MPH, MS
• Megan Cross, PT, DPT
• Crossroads Pediatrics PLLC
• Emily Crowder
• Kayla Crutchfield, PA-S
• Kevin Delane Crutchfield
• Robin Lynn Crutchfield, LVN

• Addiction (Substance Use Disorder) Counselor in Midland, TX
• Providers in Midland, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

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