NPIMap

Organization Active NPI

Crossroads to Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Klamath Falls, OR
National Provider Identifier
1407293012
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
04-03-42 Issued in OR
Legal business name
CROSSROADS TO RECOVERY
Practice address
325 S 5TH St
Klamath Falls, OR 97601-6107
Phone
(541) 882-7111
Fax
(541) 882-7111
NPI assigned
May 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Authorized official

Name
Christine L Eddy, LCSW, CADCIINPI 1235450511
Title
Owner
Phone
(541) 882-7111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 04-03-42 OR Primary

Addresses

Primary practice location

325 S 5TH St
Klamath Falls, OR 97601-6107

Mailing address

325 S 5TH St
Klamath Falls, OR 97601-6107
Phone (541) 882-7111

Other identifiers 1

IdentifierTypeStateIssuer
036941OtherORREGENCE BCBS OAID #

Other names 1

  • Christine L. Eddy 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.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369267200000",
    "number": "1407293012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S 5TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016107",
            "telephone_number": "541-882-7111",
            "fax_number": "541-882-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S 5TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016107",
            "telephone_number": "541-882-7111",
            "fax_number": "541-882-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TO RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-882-7111",
        "authorized_official_credential": "LCSW, CADCII"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "04-03-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BCBS OAID #",
            "identifier": "036941",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christine L. Eddy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.