Active NPI
Teresa Jane Cross, CT
- Addiction (Substance Use Disorder) Counselor
- Nome, AK
National Provider Identifier
1649501255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 3283
- Practice address
- 306 W. 5TH Ave and Bering
Nome, AK 99762-0966 - Phone
- (907) 443-3344
- Fax
- (907) 443-5915
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3283 | AK | Primary |
Addresses
Primary practice location
306 W. 5TH Ave and Bering
Nome, AK 99762-0966
Mailing address
306 W. 5TH Ave and Bering
Nome, AK 99762
Phone (907) 443-3344
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3283 | AK | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1649501255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W. 5TH AVE AND BERING",
"city": "NOME",
"state": "AK",
"postal_code": "99762",
"telephone_number": "907-443-3344",
"fax_number": "907-443-5915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W. 5TH AVE AND BERING",
"city": "NOME",
"state": "AK",
"postal_code": "997620966",
"telephone_number": "907-443-3344",
"fax_number": "907-443-5915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "TERESA",
"middle_name": "JANE",
"credential": "CT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-21",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AK",
"license": "3283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nome, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.