NPIMap

Organization Active NPI

Utah Young Farmer Apprenticeship Rehab and Mentoring Program, P.C.

Doing business as Crossroads Professional Services

  • Community/Behavioral Health Agency
  • Mt Pleasant, UT
National Provider Identifier
1568733418
Registry record updated Jan 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6111891-3502 Issued in UT
Legal business name
UTAH YOUNG FARMER APPRENTICESHIP REHAB AND MENTORING PROGRAM, P.C.
Doing business as
Crossroads Professional Services
Practice address
276 S 400 W
Mt Pleasant, UT 84647-1529
Phone
(435) 512-3888
NPI assigned
Jan 24, 2012
Last updated
Jan 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2012

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

Authorized official

Name
Jennifer J Hobby, CSWNPI 1710369889
Title
Ceo
Phone
(435) 512-3888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6111891-3502 UT Primary

Addresses

Primary practice location

276 S 400 W
Mt Pleasant, UT 84647-1529

Mailing address

276 S 400 W
Mt Pleasant, UT 84647-1529
Phone (435) 512-3888

Other names 1

  • Crossroads Professional Services Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1568733418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 S 400 W",
            "city": "MT PLEASANT",
            "state": "UT",
            "postal_code": "846471529",
            "telephone_number": "435-512-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 S 400 W",
            "city": "MT PLEASANT",
            "state": "UT",
            "postal_code": "846471529",
            "telephone_number": "435-512-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UTAH YOUNG FARMER APPRENTICESHIP REHAB AND MENTORING PROGRAM, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "HOBBY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "435-512-3888",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "UT",
            "license": "6111891-3502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Pleasant, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.