NPIMap

Organization Active NPI

Crossroads Counseling & Training Services

  • Case Management Agency
  • Fairbanks, AK
National Provider Identifier
1568587111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
CMG957 Issued in AK
Legal business name
CROSSROADS COUNSELING & TRAINING SERVICES
Practice address
615 23Rd Ave Ste 200
Fairbanks, AK 99701-7041
Phone
(907) 455-9737
Fax
(907) 479-9737
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Teresa Jean FirorNPI 1396860292
Title
Executive Director
Phone
(907) 455-9737

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
Case Management Agency 251B00000X CMG957 AK Primary

Addresses

Primary practice location

615 23Rd Ave Ste 200
Fairbanks, AK 99701-7041

Mailing address

PO Box 82074
Fairbanks, AK 99708-2074
Phone (907) 455-9737

Other identifiers 2

IdentifierTypeStateIssuer
HC957MedicaidAK
HC5957MedicaidAK

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Counseling Training Services2 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.

Locations

615 23rd Ave
Ste 200
Fairbanks, AK 99701
Phone (907) 455-9737

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568587111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82074",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997082074",
            "telephone_number": "907-455-9737",
            "fax_number": "907-479-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 23RD AVE STE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997017041",
            "telephone_number": "907-455-9737",
            "fax_number": "907-479-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING & TRAINING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIROR",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-455-9737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AK",
            "license": "CMG957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC957",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC5957",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • 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.