Organization Active NPI

Crossroads Counseling Center

  • Community/Behavioral Health Agency
  • Savannah, GA
National Provider Identifier
1508071580
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROSSROADS COUNSELING CENTER
Practice address
107 Oglethorpe Professional CT
Savannah, GA 31406-3623
Phone
(912) 353-7699
Fax
(912) 353-9879
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Kelly Bell, LCSWNPI 1205841517
Title
Co-Owner
Phone
(912) 353-7699

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

107 Oglethorpe Professional CT
Savannah, GA 31406-3623

Mailing address

107 Oglethorpe Professional CT
Savannah, GA 31406-3623
Phone (912) 353-7699

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090406000034 GA Part B Supplier - Clinic/Group Practice 5496802621 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA

National Provider Directory

National Provider Directory

Locations

107 Oglethorpe Professional Ct
Savannah, GA 31406
Phone (912) 353-7699

Practitioners & affiliated clinicians

Practitioners 5

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": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1508071580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 OGLETHORPE PROFESSIONAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063623",
            "telephone_number": "912-353-7699",
            "fax_number": "912-353-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 OGLETHORPE PROFESSIONAL CT",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063623",
            "telephone_number": "912-353-7699",
            "fax_number": "912-353-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "912-353-7699",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.