At a Cross Road Counseling, PLLC
Organization Active NPI Mental Health Counselor · Beaverton, MI
NPI 1780433565 · NPPES record last updated Jul 25, 2024
Key facts
- NPI
- 1780433565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- AT A CROSS ROAD COUNSELING, PLLC
- Practice address
- 201 S Ross St
Beaverton, MI 48612-8113 - Phone
- (989) 289-7578
- Fax
- (989) 435-6038
- NPI assigned
- May 15, 2024
- Organization subpart
- No
Authorized official
- Name
- Cheryl Biddinger
- Title
- Outpatient Mental Health Therapist
- Phone
- (989) 289-7578
Practitioners 2
-
Cheryl Ann Biddinger, MS, LPC
-
Brenda C Webb, M.A. LLPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240731003252 | MI | Part B Supplier - Clinic/Group Practice | 8527505114 |
Receives reassigned benefits from 1 practitioner Practice locations: Beaverton, MI |
National Provider Directory
Locations
201 S Ross St
Beaverton, MI 48612
Phone (989) 289-7578
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
201 S Ross St
Beaverton, MI 48612-8113
Mailing address
4150 Bay Ave
Beaverton, MI 48612-8819
Phone (989) 289-7578
Other providers in Beaverton, MI
- Molly Patricia Allen
- Hannah Lee Baker
- Vinosha Balakrishnan
- Beaverton Family Pharmacy LLC
- Beaverton Family Pharmacy LLC
- Beaverton Medical Center P.C.
All providers in Beaverton, MI · Mental Health Counselor in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.