Crossroads Family Counseling LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

5087227-6004 Issued in UT

Legal business name

CROSSROADS FAMILY COUNSELING LLC

Practice address

12569 S 2700 W Ste 202B
Riverton, UT 84065-7182

Phone

(801) 597-7673

NPI assigned

Jan 24, 2010

Last updated

Jan 24, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole R. Waters

Title

Sole Member

Phone

(801) 597-7673

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264291200000",
    "number": "1407187974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12569 S 2700 W STE 202B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12569 S 2700 W STE 202B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657182",
            "telephone_number": "801-597-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS FAMILY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-24",
        "last_updated": "2010-01-24",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "801-597-7673"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "UT",
            "license": "5087227-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Cozzens
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• Ashlee Dawn Cresswell, DPT
• Allison Crispin
• Teresa Crowley
• Hannah Noenani Cumbee
• Bret Cummings, DPT
• Joseph Reid Cummings, PHARM.D., MBA
• Nathan R Currier, M.D.

• Point of Service in Riverton, UT
• Providers in Riverton, UT by specialty
• Point of Service in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2010; 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.