NPIMap

Organization Active NPI

Crosspointe Mental Health, LLC

  • Developmentally Disabled Services Day Training Agency
  • Twin Falls, ID
National Provider Identifier
1811389299
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
CROSSPOINTE MENTAL HEALTH, LLC
Doing business as
Crosspointe Family Services
Practice address
1415 Fillmore St
Suite 702 & 703
Twin Falls, ID 83301-3399
Phone
(208) 736-7090
Fax
(208) 736-7089
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Nyla M Jensen
Title
Owner
Phone
(208) 736-7090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1415 Fillmore St
Suite 702 & 703
Twin Falls, ID 83301-3399

Mailing address

1415 Fillmore Street
Suite 702 and 703
Twin Falls, ID 83301-3392
Phone (208) 736-7090

Other identifiers 1

IdentifierTypeStateIssuer
1386914505MedicaidID

Other names 1

  • Crosspointe Family Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Crosspointe Family Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1415 Fillmore St
Ste 702
Twin Falls, ID 83301
Phone (208) 736-7090

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1811389299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 FILLMORE STREET",
            "address_2": "SUITE 702 AND 703",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013392",
            "telephone_number": "208-736-7090",
            "fax_number": "208-736-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 FILLMORE ST",
            "address_2": "SUITE 702 & 703",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013399",
            "telephone_number": "208-736-7090",
            "fax_number": "208-736-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSPOINTE MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "NYLA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-736-7090"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386914505",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crosspointe Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.