NPIMap

Organization Active NPI

Crossroads Counseling Services PC

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1487022083
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LIMHP # 89 Issued in NE
Legal business name
CROSSROADS COUNSELING SERVICES PC
Practice address
2121 N Webb Rd
Suite 200
Grand Island, NE 68803-1751
Phone
(308) 384-7119
Fax
(308) 384-7119
NPI assigned
Sep 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Kimberly A. Charron, LIMHP, PLADCNPI 1861563546
Title
Owner, Ceo
Phone
(308) 384-7119

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LIMHP # 89 NE Primary

Addresses

Primary practice location

2121 N Webb Rd
Suite 200
Grand Island, NE 68803-1751

Mailing address

2121 N Webb Rd
Suite 200
Grand Island, NE 68803-1751
Phone (308) 384-7119

Other identifiers 1

IdentifierTypeStateIssuer
100254520-00MedicaidNE

National Provider Directory

National Provider Directory

Locations

2121 N Webb Rd
Ste 200
Grand Island, NE 68803
Phone (308) 384-7119

Practitioners & affiliated clinicians

Practitioners 2

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": "1442102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1487022083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 N WEBB RD",
            "address_2": "SUITE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031751",
            "telephone_number": "308-384-7119",
            "fax_number": "308-384-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N WEBB RD",
            "address_2": "SUITE 200",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031751",
            "telephone_number": "308-384-7119",
            "fax_number": "308-384-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-13",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "CHARRON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "308-384-7119",
        "authorized_official_credential": "LIMHP, PLADC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "LIMHP # 89",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100254520-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.