Organization Active NPI

Crossland Community Baptist Church, Inc.

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1578372686
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CROSSLAND COMMUNITY BAPTIST CHURCH, INC.
Practice address
600 US 31W Byp Ste 18D
Bowling Green, KY 42101-4906
Phone
(270) 780-4311
NPI assigned
Jan 3, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Gregg Farrell
Title
President
Phone
(270) 842-4428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

600 US 31W Byp Ste 18D
Bowling Green, KY 42101-4906

Mailing address

600 US 31W Byp Ste 18D
Bowling Green, KY 42101-4906
Phone (270) 780-4311

National Provider Directory

National Provider Directory

Locations

600 US 31W Byp
Ste 18D
Bowling Green, KY 42101
Phone (270) 780-4311

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": "1735862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1578372686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 US 31W BYP STE 18D",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014906",
            "telephone_number": "270-780-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 US 31W BYP STE 18D",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014906",
            "telephone_number": "270-780-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLAND COMMUNITY BAPTIST CHURCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-03",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-842-4428"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.