Crossroads Recovery Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CROSSROADS RECOVERY SERVICES

Practice address

101 Suzie LN Ste 6
Attica, IN 47918-2000

Phone

(765) 775-6687

NPI assigned

Sep 26, 2022

Last updated

Sep 26, 2022By 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

Mrs. Amy Beth Schaller, BA,LACNPI 1285357087

Title

Director/Ceo

Phone

(765) 775-6687

Specialties & licenses 1

Addresses

Locations

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.

• Amy Beth Schaller, BA,LAC

  • Addiction (Substance Use Disorder) Counselor
  • Attica, IN
  • NPI 1285357087
  NPD Authorized official

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1417670217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 MILL SPGS",
            "city": "FILLMORE",
            "state": "IN",
            "postal_code": "461289386",
            "telephone_number": "765-775-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SUZIE LN STE 6",
            "city": "ATTICA",
            "state": "IN",
            "postal_code": "479182000",
            "telephone_number": "765-775-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS RECOVERY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "SCHALLER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "765-775-6687",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA,LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Attica, IN
• Providers in Attica, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.