Organization Active NPI

Crossroads Counseling & Training Services

  • Community/Behavioral Health Agency
  • Fairbanks, AK
National Provider Identifier
1619409398
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROSSROADS COUNSELING & TRAINING SERVICES
Practice address
3180 Peger Rd
Suite 200
Fairbanks, AK 99709-5484
Phone
(907) 455-9737
NPI assigned
Mar 31, 2017
Organization subpart
Yes
Parent organization
CROSSROADS COUNSELING & TRAINING SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Nicole Nelson, MPS
Title
Executive Director
Phone
(907) 455-9737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3180 Peger Rd
Suite 200
Fairbanks, AK 99709-5484

Mailing address

PO Box 82074
Fairbanks, AK 99708-2074
Phone (907) 455-9737

National Provider Directory

National Provider Directory
Part of
Crossroads Counseling Training Services

Locations

3180 Peger Rd
Ste 200
Fairbanks, AK 99709
Phone (907) 451-0300

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1619409398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82074",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997082074",
            "telephone_number": "907-455-9737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 PEGER RD",
            "address_2": "SUITE 200",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095484",
            "telephone_number": "907-455-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING & TRAINING SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROSSROADS COUNSELING & TRAINING SERVICES",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "907-455-9737",
        "authorized_official_credential": "MPS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairbanks, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.