Organization Active NPI

Crossroads Counseling, PLLC

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1346419264
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CROSSROADS COUNSELING, PLLC
Practice address
3830 Packard St Ste 160
Ann Arbor, MI 48108-2357
Phone
(734) 929-9703
Fax
(734) 929-9703
NPI assigned
Feb 25, 2008
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Robin Dixon
Title
Office Manager
Phone
(734) 929-9703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

3830 Packard St Ste 160
Ann Arbor, MI 48108-2357

Mailing address

3830 Packard St Ste 160
Ann Arbor, MI 48108-2357
Phone (734) 929-9703

Other practice location 1

28900 Pontiac Trl
South Lyon, MI 48178-9241
Phone (947) 362-7008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150805007329 MI Part B Supplier - Clinic/Group Practice 8628382553 Receives reassigned benefits from 8 practitioners
Practice locations: South Lyon, MI; Ann Arbor, MI

National Provider Directory

National Provider Directory

Locations

3830 Packard St
Ste 160
Ann Arbor, MI 48108
Phone (734) 528-9703

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1346419264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 160",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082357",
            "telephone_number": "734-929-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 PACKARD ST STE 160",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082357",
            "telephone_number": "734-929-9703",
            "fax_number": "734-929-9703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28900 Pontiac Trl",
            "address_purpose": "LOCATION",
            "city": "South Lyon",
            "state": "MI",
            "postal_code": "481789241",
            "country_code": "US",
            "telephone_number": "947-362-7008",
            "fax_number": "734-929-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "734-929-9703"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.