NPIMap

Organization Active NPI

Wylie James Bagley

Doing business as Crossroads Counseling & Research

  • Marriage & Family Therapist
  • Monroe, LA
National Provider Identifier
1598912792
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1016 Issued in LA
Legal business name
WYLIE JAMES BAGLEY
Doing business as
Crossroads Counseling & Research
Practice address
108 Filhiol Ave
Monroe, LA 71203-3828
Phone
(318) 791-1555
Fax
(318) 343-3851
NPI assigned
Aug 19, 2008
Last updated
Aug 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Mr. Wylie James Bagley, M.A.NPI 1487666186
Title
LMFT
Phone
(318) 791-1555

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
Marriage & Family Therapist 106H00000X 1016 LA Primary

Addresses

Primary practice location

108 Filhiol Ave
Monroe, LA 71203-3828

Mailing address

224 Henderson Rd
West Monroe, LA 71291-9409
Phone (318) 791-1555

Other names 1

  • Crossroads Counseling & Research Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1598912792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 HENDERSON RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712919409",
            "telephone_number": "318-791-1555",
            "fax_number": "318-343-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 FILHIOL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712033828",
            "telephone_number": "318-791-1555",
            "fax_number": "318-343-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYLIE JAMES BAGLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "WYLIE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "318-791-1555",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "1016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Counseling & Research",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.