NPIMap

Organization Active NPI

Crossroads Counseling Services, PLLC

  • Adult Mental Health Clinic/Center
  • Morris, IL
National Provider Identifier
1427205111
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
CROSSROADS COUNSELING SERVICES, PLLC
Doing business as
Crossroads Counseling Services, PLLC
Practice address
1802 N Division St Ste 509
Morris, IL 60450-3107
Phone
(815) 941-3882
Fax
(815) 941-3884
NPI assigned
Aug 25, 2008
Last updated
Jun 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Angela C Solis, LCPCNPI 1639110612
Title
Owner
Phone
(815) 941-3882

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X 14623 IL
Professional Counselor 101YP2500X 180003593 IL
Clinical Social Worker 1041C0700X 149011760 IL

Addresses

Primary practice location

1802 N Division St Ste 509
Morris, IL 60450-3107

Mailing address

1802 N Division St Ste 509
Morris, IL 60450-3107
Phone (815) 941-3882

Other practice location 1

601 W Norris Dr Ste B
Ottawa, IL 61350-1308
Phone (815) 941-3882

Other practice location 2

13550 S Route 30 Ste 302
Plainfield, IL 60544-5688
Phone (815) 941-3882

Other names 1

  • Crossroads Counseling Services, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090623000395 IL Part B Supplier - Clinic/Group Practice 9234280710 Receives reassigned benefits from 15 practitioners
Practice locations: Morris, IL; Ottawa, IL; Plainfield, IL; Yorkville, IL

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Counseling Services PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3077 W Jefferson St
Ste 108
Joliet, IL 60435
Phone (815) 294-0407

113 E Wapella St
Ste 2
Minooka, IL 60447
Phone (815) 467-9810

1802 N Division St
Ste 604
Morris, IL 60450

3027 English Rows Ave
Ste 103
Naperville, IL 60564
Phone (630) 548-0760

112 W Center St
Ste B
Ottawa, IL 61350
Phone (815) 433-5101

601 W Norris Dr
Ste B
Ottawa, IL 61350
Phone (815) 431-1800

24047 W Lockport St
Ste 201H
Plainfield, IL 60544

1095 S Water St
Ste F
Wilmington, IL 60481

608 E Veterans Pkwy
Yorkville, IL 60560
Phone (630) 553-5400

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1427205111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 509",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503107",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N DIVISION ST STE 509",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503107",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Norris Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613501308",
            "country_code": "US",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13550 S Route 30 Ste 302",
            "address_purpose": "LOCATION",
            "city": "Plainfield",
            "state": "IL",
            "postal_code": "605445688",
            "country_code": "US",
            "telephone_number": "815-941-3882",
            "fax_number": "815-941-3884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-941-3882",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "14623",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180003593",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149011760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Counseling Services, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.