Active NPI
Crossroads Therapy LLC
- Marriage & Family Therapist
- Clinton TWP, MI
National Provider Identifier
1679642672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4101006085
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark F Warchol, LMSW LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.