NPIMap

Organization Active NPI

Crossroads Center of Frederick LLC

Doing business as Westminster Recovery Center

  • Community/Behavioral Health Agency
  • Westminster, MD
National Provider Identifier
1508354853
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH000400 Issued in MD
Legal business name
CROSSROADS CENTER OF FREDERICK LLC
Doing business as
Westminster Recovery Center
Practice address
77 E Main St Ste 300
Westminster, MD 21157-5055
Phone
(410) 857-8448
Fax
(410) 857-0239
NPI assigned
Apr 23, 2018
Last updated
Mar 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Chris G Luecking
Title
Coo
Phone
(301) 696-1950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH000400 MD Primary

Addresses

Primary practice location

77 E Main St Ste 300
Westminster, MD 21157-5055

Mailing address

77 E Main St Ste 300
Westminster, MD 21157-5055
Phone (410) 857-8448

Other identifiers 1

IdentifierTypeStateIssuer
562118601MedicaidMD

Other names 1

  • Westminster Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Center of Frederick LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

77 E Main St
Ste 300
Westminster, MD 21157
Phone (410) 857-8448

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1508354853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E MAIN ST STE 300",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575055",
            "telephone_number": "410-857-8448",
            "fax_number": "410-857-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E MAIN ST STE 300",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211575055",
            "telephone_number": "410-857-8448",
            "fax_number": "410-857-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS CENTER OF FREDERICK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "LUECKING",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "301-696-1950"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "BH000400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "562118601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westminster Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westminster Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.