NPIMap

Organization Active NPI

Crossroads, Inc Pure Heart Counseling Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glendale, AZ
National Provider Identifier
1245886415
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CROSSROADS, INC PURE HEART COUNSELING CENTER
Doing business as
Crossroads, Inc. Pure Heart Counseling Center
Practice address
14240 N 43Rd Ave
Glendale, AZ 85306-4511
Phone
(602) 263-5242
Fax
(602) 595-4434
NPI assigned
Aug 14, 2019
Organization subpart
Yes
Parent organization
CROSSROADS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Authorized official

Name
Chris Riley
Title
Executive Director
Phone
(602) 263-5242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

14240 N 43Rd Ave
Glendale, AZ 85306-4511

Mailing address

2002 E Osborn Rd
Phoenix, AZ 85016-7236
Phone (602) 263-5242

Other names 1

  • Crossroads, Inc. Pure Heart Counseling Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2325204Crossroads Pure Heart, Inc14240 N 43Rd Ave BLDG 300, Glendale, AZ 85306Certificate of waiverJun 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Scottsdale28 organizations share this tax ID, including this one
Part of
Crossroads Scottsdale

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

14240 N 43rd Ave
Glendale, AZ 85306
Phone (602) 291-4837

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": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749081600000",
    "number": "1245886415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167236",
            "telephone_number": "602-263-5242",
            "fax_number": "602-595-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14240 N 43RD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853064511",
            "telephone_number": "602-263-5242",
            "fax_number": "602-595-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS, INC PURE HEART COUNSELING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSROADS, INC.",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-263-5242"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads, Inc. Pure Heart Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crossroads, Inc. Pure Heart Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.