Organization Active NPI

Crossing Jordan Counseling Services, LLC

  • Adult Mental Health Clinic/Center
  • Thomasville, GA
National Provider Identifier
1265298533
Registry record updated Aug 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CROSSING JORDAN COUNSELING SERVICES, LLC
Practice address
125 N Broad St Ste 302
Thomasville, GA 31792-8116
Phone
(912) 212-5803
Fax
(229) 512-3767
NPI assigned
Feb 26, 2024
Last updated
Aug 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2024

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

Authorized official

Name
Lekeisha Shauntae McNeil, LPCNPI 1710269758
Title
Owner/Director
Phone
(912) 212-5803

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

125 N Broad St Ste 302
Thomasville, GA 31792-8116

Mailing address

125 N Broad St Ste 302
Thomasville, GA 31792-8116
Phone (912) 212-5803

National Provider Directory

National Provider Directory

Locations

514 W Oglethorpe Blvd
Albany, GA 31701
Phone (205) 304-1506

125 N Broad St
Ste 302
Thomasville, GA 31792
Phone (912) 212-5803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724457600000",
    "number": "1265298533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N BROAD ST STE 302",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928116",
            "telephone_number": "912-212-5803",
            "fax_number": "229-512-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N BROAD ST STE 302",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317928116",
            "telephone_number": "912-212-5803",
            "fax_number": "229-512-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSING JORDAN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-08-24",
        "certification_date": "2024-08-24",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "LEKEISHA",
        "authorized_official_middle_name": "SHAUNTAE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "912-212-5803",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.