Organization 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
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Authorized official

Name
Sharon Lynn JohnsonNPI 1790138352
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.