Crossroads Programs, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CROSSROADS PROGRAMS, INC.

Practice address

420 Walnut St
Pekin, IL 61554-4550

Phone

(800) 348-0937

NPI assigned

Nov 22, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Bonnie J Harken

Title

President

Phone

(800) 348-0937

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1588094874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 WALNUT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544550",
            "telephone_number": "800-348-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 WALNUT ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615544550",
            "telephone_number": "800-348-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PROGRAMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "HARKEN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-348-0937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diane Cozadd
• Tina I Crawford, RN
• Emily Crebo, FNP
• Dennis Jay Crowell, MSW, LCSW, ACSW, DCS
• Mari Teresa Cullen, BA, CADC
• Ivetta S Daccache, O.D.
• Rebekah A Dagraedt
• Michael David Danner, D.D.S.

• Mental Health Counselor in Pekin, IL
• Providers in Pekin, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.