Organization Active NPI

Crossbridge Counseling LLC

Doing business as crossbridge

  • Marriage & Family Therapist
  • Indian Land, SC
National Provider Identifier
1366226987
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CROSSBRIDGE COUNSELING LLC
Doing business as
crossbridge
Practice address
1040 Edgewater Corporate Pkwy Ste 101
Indian Land, SC 29707-4526
Phone
(814) 882-5400
Fax
(866) 604-5401
NPI assigned
Aug 23, 2023
Last updated
Oct 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Authorized official

Name
Ron Miller, PH.D
Title
President
Phone
(814) 882-5400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1040 Edgewater Corporate Pkwy Ste 101
Indian Land, SC 29707-4526

Mailing address

9400 Avery Lilac LN
Indian Land, SC 29707-6921
Phone (814) 882-5400

Other names 1

  • crossbridge Doing business as

National Provider Directory

National Provider Directory

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": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1366226987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 AVERY LILAC LN",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297076921",
            "telephone_number": "814-882-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 EDGEWATER CORPORATE PKWY STE 101",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297074526",
            "telephone_number": "814-882-5400",
            "fax_number": "866-604-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSBRIDGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-882-5400",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "crossbridge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "crossbridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indian Land, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.