NPIMap

Organization Active NPI

Crossroads Programs, Inc.

  • Case Management Agency
  • Mount Holly, NJ
National Provider Identifier
1548747314
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
4030 Issued in NJ
Legal business name
CROSSROADS PROGRAMS, INC.
Practice address
15 Washington St
Mount Holly, NJ 08060-1734
Phone
(609) 261-5400
Fax
(609) 784-7984
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Mary Beth Barnes
Title
Cfo
Phone
(609) 880-0210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 4030 NJ Primary

Addresses

Primary practice location

15 Washington St
Mount Holly, NJ 08060-1734

Mailing address

610 Beverly Rancocas Rd
Willingboro, NJ 08046-3736
Phone (609) 880-0210

Other identifiers 1

IdentifierTypeStateIssuer
0407429MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Programs13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

15 Washington St
Mount Holly, NJ 08060
Phone (609) 261-5400

Practitioners & affiliated clinicians

Practitioners 1

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": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1548747314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BEVERLY RANCOCAS RD",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463736",
            "telephone_number": "609-880-0210",
            "fax_number": "609-880-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WASHINGTON ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601734",
            "telephone_number": "609-261-5400",
            "fax_number": "609-784-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-880-0210"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "4030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407429",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.