Organization Active NPI

Crossroads Therapy LLC

  • Marriage & Family Therapist
  • Clinton TWP, MI
National Provider Identifier
1679642672
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4101006085 Issued in MI
Legal business name
CROSSROADS THERAPY LLC
Practice address
16950 19 Mile Rd
Suite 3a
Clinton TWP, MI 48038
Phone
(586) 226-1991
Fax
(586) 286-1138
NPI assigned
Nov 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Mark F Warchol, LMSW LMFTNPI 1871626614
Title
Owner Operator
Phone
(586) 226-1991

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801060259 MI
Marriage & Family Therapist 106H00000X 4101006085 MI Primary

Addresses

Primary practice location

16950 19 Mile Rd
Suite 3a
Clinton TWP, MI 48038

Mailing address

PO Box 380452
Clinton TWP, MI 48038-0065
Phone (586) 226-1991

National Provider Directory

National Provider Directory

Locations

16950 19 Mile Rd
Ste 3A
Clinton Twp, MI 48038
Phone (586) 226-1991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1679642672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 380452",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480380065",
            "telephone_number": "586-226-1991",
            "fax_number": "586-286-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16950 19 MILE RD",
            "address_2": "SUITE 3A",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-226-1991",
            "fax_number": "586-286-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WARCHOL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "586-226-1991",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW LMFT"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801060259",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.