NPIMap

Organization Active NPI

Crossroads Counseling, Inc

  • Mental Health Counselor
  • Lexington, SC
National Provider Identifier
1649376807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CROSSROADS COUNSELING, INC
Practice address
130A Whiteford Way
Lexington, SC 29072-7617
Phone
(803) 808-1800
Fax
(803) 356-8580
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larue Bettis, M.ED, LPCSNPI 1801992995
Title
Director/Owner
Phone
(803) 808-1800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

130A Whiteford Way
Lexington, SC 29072-7617

Mailing address

130A Whiteford Way
Lexington, SC 29072-7617
Phone (803) 808-1800

National Provider Directory

National Provider Directory

Locations

130 Whiteford Way
Ste A
Lexington, SC 29072
Phone (803) 808-1800

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649376807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130A WHITEFORD WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727617",
            "telephone_number": "803-808-1800",
            "fax_number": "803-356-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130A WHITEFORD WAY",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727617",
            "telephone_number": "803-808-1800",
            "fax_number": "803-356-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BETTIS",
        "authorized_official_first_name": "LARUE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "803-808-1800",
        "authorized_official_credential": "M.ED, LPCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.