Crossroads Treatment Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

27099800 Issued in WA

Legal business name

CROSSROADS TREATMENT CENTER

Practice address

8717 S Hosmer St
Tacoma, WA 98444-1819

Phone

(253) 473-7474

Fax

(253) 474-9724

NPI assigned

May 7, 2007

Organization subpart

No

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

Authorized official

Name

Jeremiah Thunderwalker Saucier, Sudp, SUDP

Title

Owner /Director

Phone

(253) 473-7474

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 3

Tax ID family

Crossroads Treatment Center2 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.

• Crossroads Treatment Center Inc

  • Addiction (Substance Use Disorder) Counselor
  • Tacoma, WA
  • NPI 1417025461
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Thunderwalker Saucier, SUDP

  • Addiction (Substance Use Disorder) Counselor
  • Tacoma, WA
  • NPI 1124355466
  NPD
• Bonnie Baker, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Parkland, WA
  • NPI 1285855734
  NPD (past)
• Melissa Fraser, CDP

  • Addiction (Substance Use Disorder) Counselor
  • Parkland, WA
  • NPI 1063633519
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647820800000",
    "number": "1619180809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 S HOSMER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441819",
            "telephone_number": "253-473-7474",
            "fax_number": "253-474-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 S HOSMER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441819",
            "telephone_number": "253-473-7474",
            "fax_number": "253-474-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A",
        "authorized_official_last_name": "SAUCIER, SUDP",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "THUNDERWALKER",
        "authorized_official_title_or_position": "OWNER /DIRECTOR",
        "authorized_official_telephone_number": "253-473-7474",
        "authorized_official_credential": "SUDP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "27099800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209641500",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tacoma",
            "affiliation": "N",
            "endpointDescription": "Outpatient Treatment Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8717 S Hosmer St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984441819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tacoma",
            "affiliation": "N",
            "endpointDescription": "Outpatient Treatment Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8717 S Hosmer St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984441819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tacoma",
            "affiliation": "N",
            "endpointDescription": "Outpatient Substance Use Treatment Center",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8717 S Hosmer St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984441819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• C. Susan Crossland, RPH, CACP
• Tyra Rayanne Crossley, LMT
• Frederick Francis Crossman, PA-C
• Kelly R. Crosson
• Crossroad Consultation and Coaching Services, PLLC
• Crossroads Treatment Center Inc
• Cassie Marie Crosswhite
• Patrick Dennis Crotty
• Robyn Michelle Crout, LSWAIC
• Cassandra Nicole Crover

• Addiction (Substance Use Disorder) Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.