Active NPI
Michael Cross, R A D T
- Addiction (Substance Use Disorder) Counselor
- Anaheim, CA
National Provider Identifier
1225680994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1266960917
- Practice address
- 710 N. Anaheim Blvd Anaheim, Ca 92805
710 N.Anaheim Blvd
Anaheim, CA 92805 - Phone
- (714) 776-6090
- NPI assigned
- Jul 12, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1266960917 | CA | Primary |
Addresses
Primary practice location
710 N. Anaheim Blvd Anaheim, Ca 92805
710 N.Anaheim Blvd
Anaheim, CA 92805
Mailing address
710 N. Anaheim Blvd Anaheim, Ca 92805
710 N.Anaheim Blvd
Anaheim, CA 92805
Phone (714) 776-6090
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
| License | State | Type | Specialty |
|---|---|---|---|
| R1266960917 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope House Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Anaheim, CA
- NPI 1578646469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1225680994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 N. ANAHEIM BLVD ANAHEIM, CA 92805",
"address_2": "710 N.ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92805",
"telephone_number": "714-776-6090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 N. ANAHEIM BLVD ANAHEIM, CA 92805",
"address_2": "710 N.ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "92805",
"telephone_number": "714-776-6090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "MICHAEL",
"credential": "R A D T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-12",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1266960917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.