Crossroads Treatment & Counseling Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

L3671 Issued in OR

Legal business name

CROSSROADS TREATMENT & COUNSELING SERVICES, INC

Practice address

8855 SW Holly LN Ste 122
Wilsonville, OR 97070-8793

Phone

(503) 682-7744

Fax

(503) 682-3384

NPI assigned

Jan 12, 2012

Organization subpart

No

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

Authorized official

Name

Lora E. Baker, LCSW, CADC III

Title

Executive Director

Phone

(503) 682-7744

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Cindy D Bothum-Haslebacher

  • Addiction (Substance Use Disorder) Counselor
  • Wilsonville, OR
  • NPI 1164959011
  NPD
• Bret Markus Olsen, CADC I

  • Addiction (Substance Use Disorder) Counselor
  • Wilsonville, OR
  • NPI 1013331065
  NPD (past)

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1811267420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8855 SW HOLLY LN STE 122",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708793",
            "telephone_number": "503-682-7744",
            "fax_number": "503-682-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8855 SW HOLLY LN STE 122",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708793",
            "telephone_number": "503-682-7744",
            "fax_number": "503-682-3384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Pleasant Ave Ste 4F",
            "address_purpose": "LOCATION",
            "city": "Oregon City",
            "state": "OR",
            "postal_code": "970452637",
            "country_code": "US",
            "telephone_number": "503-342-6183",
            "fax_number": "503-387-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSROADS TREATMENT & COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-682-7744",
        "authorized_official_credential": "LCSW, CADC III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OR",
            "license": "L3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Cox
• Madison Cox
• Amy Louise Crandall, RN
• Crispin Counseling LLC
• Heidi Lynn Crispin, LPC, LMFT ASSOCIATE
• Ma. Ricca Cuenca
• Gabriel P Currie, M.D.
• Stephen R Curtiss
• Michael John Cusack
• Mia Dafinescu

• Community/Behavioral Health Agency in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Community/Behavioral Health Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.