NPIMap

Organization Active NPI

Crossroadstn LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Knoxville, TN
National Provider Identifier
1235714932
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CROSSROADSTN LLC
Practice address
10426 Jackson Oaks Way Ste 201
Knoxville, TN 37922-0709
Phone
(865) 805-2575
NPI assigned
Mar 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Travis Kobler, M.S. L.P.C.NPI 1003204496
Title
Owner
Phone
(865) 805-2527

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

10426 Jackson Oaks Way Ste 201
Knoxville, TN 37922-0709

Mailing address

2161 Pewter Dr
Knoxville, TN 37909-1085
Phone (865) 805-2575

Other identifiers 1

IdentifierTypeStateIssuer
1003204496OtherTNCOUNSELING

Other names 1

  • Crossroads Mental Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

10426 Jackson Oaks Way
Ste 201
Knoxville, TN 37922
Phone (865) 805-2575

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1235714932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 PEWTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091085",
            "telephone_number": "865-805-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10426 JACKSON OAKS WAY STE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379220709",
            "telephone_number": "865-805-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADSTN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "KOBLER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-805-2527",
        "authorized_official_credential": "M.S.  L.P.C."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNSELING",
            "identifier": "1003204496",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Mental Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.