George Crossland, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1083 Issued in KS

Practice address

6221 Richards Dr
Shawnee, KS 66216-1724

Phone

(913) 248-1943

Fax

(913) 248-1994

NPI assigned

May 27, 2015

Last updated

May 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• The Mirror, Inc.

  dba Mirror, Inc.

  • Substance Abuse Rehabilitation Facility
  • Newton, KS
  • NPI 1053431676
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1790164549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 5TH ST",
            "address_2": "PO BOX 711",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142206",
            "telephone_number": "316-283-6743",
            "fax_number": "316-283-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 RICHARDS DR",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662161724",
            "telephone_number": "913-248-1943",
            "fax_number": "913-248-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSLAND",
        "first_name": "GEORGE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KS",
            "license": "1083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100106710 I",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey E Cowan, LMLP
• Chelsea Ann Craig, ATC
• John L Crane, MD
• Kimberley Cressman
• Bret Crossland, D.P.T.
• Cultivate Speech & Language Inc.
• Staci Cummings
• Katharine Cunningham, RN
• Kelsie Suzanne Curtice, NP
• Madison Dahl, RD

• Addiction (Substance Use Disorder) Counselor in Shawnee, KS
• Providers in Shawnee, KS by specialty
• Addiction (Substance Use Disorder) Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.