NPIMap

Organization Active NPI

Crossroads Counseling Services, Inc.

  • Mental Health Counselor
  • Saint Clairsville, OH
National Provider Identifier
1396211587
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CROSSROADS COUNSELING SERVICES, INC.
Practice address
255 W Main St
Saint Clairsville, OH 43950-1040
Phone
(740) 695-9447
Fax
(740) 695-8895
NPI assigned
Oct 16, 2018
Reactivated
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Lisa Ann Jones
Title
Billing Coordinator
Phone
(740) 695-9447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

255 W Main St
Saint Clairsville, OH 43950-1040

Mailing address

PO Box 118
Saint Clairsville, OH 43950-0118
Phone (740) 695-9447

Other identifiers 2

IdentifierTypeStateIssuer
2877123MedicaidOH
0318977MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Awakenings2 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.

Locations

255 W Main St
St Clairsvle, OH 43950
Phone (740) 283-7869

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1396211587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 118",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439500118",
            "telephone_number": "740-695-9447",
            "fax_number": "740-695-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501040",
            "telephone_number": "740-695-9447",
            "fax_number": "740-695-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2023-10-23",
        "certification_date": "2021-09-23",
        "deactivation_date": "2023-08-31",
        "reactivation_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "740-695-9447"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877123",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0318977",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.