Organization Active NPI

Cross Roads

  • Addiction (Substance Use Disorder) Counselor
  • Proctorville, OH
National Provider Identifier
1336978071
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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

Updated by the provider on Jul 31, 2024

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Roads2 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.

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.

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.