Organization Active NPI

Crossroads Counseling LLC

  • Case Manager/Care Coordinator
  • Rohnert Park, CA
National Provider Identifier
1801688510
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CROSSROADS COUNSELING LLC
Practice address
4949 Snyder LN Apt 261
Rohnert Park, CA 94928-4856
Phone
(707) 755-0081
NPI assigned
May 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Ronald BraunerNPI 1942924139
Title
Coo
Phone
(707) 755-0081

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

4949 Snyder LN Apt 261
Rohnert Park, CA 94928-4856

Mailing address

4949 Snyder LN Apt 261
Rohnert Park, CA 94928-4856
Phone (707) 755-0081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250905003212 CA Part B Supplier - Clinic/Group Practice 1355843657 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Rosa, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1801688510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 SNYDER LN APT 261",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284856",
            "telephone_number": "707-755-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 SNYDER LN APT 261",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949284856",
            "telephone_number": "707-755-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "BRAUNER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "707-755-0081"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.