Patrice Cross, LCPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

180.011729 Issued in IL

Practice address

4741 187TH St
Country Club Hills, IL 60478-5262

Phone

(708) 595-4006

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1639729395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 187TH ST",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785262",
            "telephone_number": "708-595-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 187TH ST",
            "city": "COUNTRY CLUB HILLS",
            "state": "IL",
            "postal_code": "604785262",
            "telephone_number": "708-595-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7802 S Kingston Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606495579",
            "country_code": "US",
            "telephone_number": "708-595-4006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3306 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606293317",
            "country_code": "US",
            "telephone_number": "773-424-8190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "PATRICE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.011729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180011729",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pmcross21@yahoo.com",
            "affiliation": "N",
            "address_1": "4741 187th St",
            "city": "Country Club Hills",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604785262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "officeally",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Vivia Health",
            "address_1": "3306 W 63rd St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606293317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shanel W Cook
• Terrence Cook
• Country Club Hills School District 160
• Torianna Jovelle Crawford, CCC-SLP
• Katrina Crosby
• Christina Elaine Curtis, LCSW
• Latrica Tenille Day
• Lynnette Degraffenreid
• Camille S Delaney, M.ED
• Doable Transportation

• Counselor in Country Club Hills, IL
• Providers in Country Club Hills, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.