Ellis Consulting and Associates

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ELLIS CONSULTING AND ASSOCIATES

Doing business as

Crossroads Healthcare Alliance, Inc

Practice address

4989 Rockfish Rd
Raeford, NC 28376-8355

Phone

(910) 848-0023

Fax

(910) 848-0026

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Duke E Ellis II, PHD

Title

Sole Owner

Phone

(910) 286-1991

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Crossroads Healthcare Alliance, Inc Doing business as

Tax ID family

Crossroads Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Ellis Consulting and Associates

  • Community/Behavioral Health Agency
  • Laurinburg, NC
  • NPI 1558592105
  NPD tax ID

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487705547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768355",
            "telephone_number": "910-848-0023",
            "fax_number": "910-848-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4989 ROCKFISH RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283768355",
            "telephone_number": "910-848-0023",
            "fax_number": "910-848-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS CONSULTING AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DUKE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "910-286-1991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301497B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301497G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301497",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301497H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Healthcare Alliance, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Raeford, NC
• Providers in Raeford, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.