Individual provider Active NPI

Keith A. Cross, PH.D., LMFT

  • Marriage & Family Therapist
  • Flagstaff, AZ
National Provider Identifier
1649496183
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-10426 Issued in AZ
Practice address
702 N Beaver St
Flagstaff, AZ 86001-3104
Phone
(928) 420-8300
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-10426 AZ Primary

Addresses

Primary practice location

702 N Beaver St
Flagstaff, AZ 86001-3104

Mailing address

510 E Moeller St
Prescott, AZ 86301-2612
Phone (928) 273-0027

Other practice location 1

510 E Moeller St
Prescott, AZ 86301
Phone (928) 273-0027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LMFT-10426AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Relationship Center, PLLC Marriage & Family Therapist CurrentSince Dec 10, 2023 Accepting new patients
Northern Arizona Family Therapy Marriage & Family Therapist PastSince Dec 10, 2023 Accepting new patients

Locations

702 N Beaver St
Flagstaff, AZ 86001
Phone (928) 420-8300

510 E Moeller St
Prescott, AZ 86301
Phone (928) 420-8300

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1649496183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E MOELLER ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012612",
            "telephone_number": "928-273-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 N BEAVER ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013104",
            "telephone_number": "928-420-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Moeller St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "86301",
            "country_code": "US",
            "telephone_number": "928-273-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "KEITH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-10426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.