Organization Active NPI

Crossroads Counseling Center, Inc.

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1366890840
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004115 Issued in NC
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 4653 NC
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
6002334MedicaidNC
6003806MedicaidNC
6102176MedicaidNC

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.

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.

Verify at the official NPI Registry.