NPIMap

Organization Active NPI

The Crossroads Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cincinnati, OH
National Provider Identifier
1265496590
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
01258 Issued in OH
Legal business name
THE CROSSROADS CENTER
Practice address
311 Martin Luther King Dr
Cincinnati, OH 45220-2484
Phone
(513) 475-5300
Fax
(513) 475-5394
NPI assigned
Apr 13, 2006
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Ms. Jacqueline P Butler, MSW, LISW
Title
Chief Executive Officer
Phone
(513) 475-5300

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0315 OH
Adult Mental Health Clinic/Center 261QM0850X 0315 OH
Adolescent and Children Mental Health Clinic/Center 261QM0855X 0315 OH
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 01258 OH Primary
Mental Illness Community Based Residential Treatment Facility 320800000X 0315 OH
Substance Abuse Rehabilitation Facility 324500000X 2344 OH

Addresses

Primary practice location

311 Martin Luther King Dr
Cincinnati, OH 45220-2484

Mailing address

311 Martin Luther King Dr
Cincinnati, OH 45220-2484
Phone (513) 475-5300

Other identifiers 4

IdentifierTypeStateIssuer
31659OtherOHOHIO DEPT. OF MENTAL HEAL
01258OtherOHODADAS
0315OtherOHODMH
93.778MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200813002153 OH Part B Supplier - Clinic/Group Practice 4284057746 Receives reassigned benefits from 19 practitioners
Practice locations: Cincinnati, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
The Crossroads Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/thecrossroadscenter/r4/

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1265496590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MARTIN LUTHER KING DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202484",
            "telephone_number": "513-475-5300",
            "fax_number": "513-281-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MARTIN LUTHER KING DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202484",
            "telephone_number": "513-475-5300",
            "fax_number": "513-475-5394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CROSSROADS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "513-475-5300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LISW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "0315",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "0315",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "0315",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "01258",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "0315",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "2344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO DEPT. OF MENTAL HEAL",
            "identifier": "31659",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODADAS",
            "identifier": "01258",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMH",
            "identifier": "0315",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93.778",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.