Active NPI
Cross Roads
- Addiction (Substance Use Disorder) Counselor
- Proctorville, OH
National Provider Identifier
1336978071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- CROSS ROADS
- Practice address
- 1159 County Road 411
Proctorville, OH 45669-9409 - Phone
- (740) 861-9171
- NPI assigned
- Jul 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deonna Fields
- Title
- Consultant
- Phone
- (304) 767-8919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1159 County Road 411
Proctorville, OH 45669-9409
Mailing address
1159 County Road 411
Proctorville, OH 45669-9409
Phone (740) 861-9171
National Provider Directory
National Provider Directory- Tax ID family
- Cross Roads
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- South Point, OH
- NPI 1922835313
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Adult Day Care Clinic/Center
- South Point, OH
- NPI 1922835313
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Proctorville, OH
- NPI 1245062397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1336978071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1159 COUNTY ROAD 411",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456699409",
"telephone_number": "740-861-9171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1159 COUNTY ROAD 411",
"city": "PROCTORVILLE",
"state": "OH",
"postal_code": "456699409",
"telephone_number": "740-861-9171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSS ROADS",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-31",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "FIELDS",
"authorized_official_first_name": "DEONNA",
"authorized_official_title_or_position": "CONSULTANT",
"authorized_official_telephone_number": "304-767-8919"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Proctorville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.