Active NPI
The Way, Truth & Light - After Care & Mentoring Program
Doing business as Crossroads House
- Addiction (Substance Use Disorder) Counselor
- Bedford, OH
National Provider Identifier
1407213390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- THE WAY, TRUTH & LIGHT - AFTER CARE & MENTORING PROGRAM
- Doing business as
- Crossroads House
- Practice address
- 460 Northfield Rd
Bedford, OH 44146-2204 - Phone
- (216) 854-4309
- Fax
- (216) 365-3730
- NPI assigned
- Jan 22, 2016
- Last updated
- Jan 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Lynn Johnson
- Title
- Executive Director/Ceo
- Phone
- (216) 854-4309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary | |
| Pastoral Counselor | 101YP1600X | NU |
Addresses
Primary practice location
460 Northfield Rd
Bedford, OH 44146-2204
Mailing address
460 Northfield Rd
Bedford, OH 44146-2204
Phone (216) 854-4309
Other names 1
- Crossroads House
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Counselor
- Bedford, OH
- NPI 1790138352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453420800000",
"number": "1407213390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 NORTHFIELD RD",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462204",
"telephone_number": "216-854-4309",
"fax_number": "216-365-3730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 NORTHFIELD RD",
"city": "BEDFORD",
"state": "OH",
"postal_code": "441462204",
"telephone_number": "216-854-4309",
"fax_number": "216-365-3730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE WAY, TRUTH & LIGHT - AFTER CARE & MENTORING PROGRAM",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-22",
"last_updated": "2016-01-22",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
"authorized_official_telephone_number": "216-854-4309"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Crossroads House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bedford, OH
- Tender Hearts Residential Services LLC
- Tender Hearts Residential Services LLC
- Niranjana Shah Thaker, MD
- The Metrohealth System (Metrohealth Bedford Pharmacy)
- The Metrohealth System (Bedford Health Center)
- Angela Thomas
- Malinda Joyce Thomas
- Semone Renee Thomas I
- Vivian Marie Thornton, RN, MSN
- Alessandro Paul Tramontano, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.