Active NPI
Crossroads Counseling Center, Inc.
- Clinical Social Worker
- Asheville, NC
National Provider Identifier
1366890840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004115
- Legal business name
- CROSSROADS COUNSELING CENTER, INC.
- Practice address
- 573 Fairview Rd
Suite 6
Asheville, NC 28803-1345 - Phone
- (828) 327-6633
- NPI assigned
- May 25, 2016
- Organization subpart
- Yes
- Parent organization
- CROSSROADS COUNSELING CENTER, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alisa Buchanan
- Title
- Practice Manager
- Phone
- (828) 327-6633
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4653 | NC | |
| Clinical Social Worker | 1041C0700X | C004115 | NC | Primary |
Addresses
Primary practice location
573 Fairview Rd
Suite 6
Asheville, NC 28803-1345
Mailing address
255 18TH Street SE
Hickory, NC 28602-1364
Phone (828) 327-6633
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6002334 | Medicaid | NC | |
| 6003806 | Medicaid | NC | |
| 6102176 | Medicaid | NC |
National Provider Directory
National Provider Directory- Part of
- Crossroads Counseling
Locations
573 Fairview Rd
Ste 6
Asheville, NC 28803
Phone (414) 405-2839
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Professional Counselor
- Hickory, NC
- NPI 1487670279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505779200000",
"number": "1366890840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 18TH STREET SE",
"city": "HICKORY",
"state": "NC",
"postal_code": "286021364",
"telephone_number": "828-327-6633",
"fax_number": "828-327-3385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "573 FAIRVIEW RD",
"address_2": "SUITE 6",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288031345",
"telephone_number": "828-327-6633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CROSSROADS COUNSELING CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CROSSROADS COUNSELING CENTER, INC.",
"enumeration_date": "2016-05-25",
"last_updated": "2017-09-19",
"status": "A",
"authorized_official_last_name": "BUCHANAN",
"authorized_official_first_name": "ALISA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "828-327-6633"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4653",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6002334",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003806",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102176",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.