Individual provider Active NPI

Jordan Lynn Cross, MA, LLC

  • Mental Health Counselor
  • Grand Rapids, MI
National Provider Identifier
1841035342
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6451022762 Issued in MI
Practice address
2828 Kraft Ave SE Ste 186
Grand Rapids, MI 49512-2076
Phone
(616) 949-9551
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6451022762 MI Primary

Addresses

Primary practice location

2828 Kraft Ave SE Ste 186
Grand Rapids, MI 49512-2076

Mailing address

3071 N Henderson Rd
Davison, MI 48423-8113
Phone (810) 922-6313

Other practice location 1

3000 Leonard St NE
Grand Rapids, MI 49525-5831
Phone (616) 808-0333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451022762MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cross Counseling CurrentSince Sep 1, 2024 Accepting new patients

Locations

3000 Leonard St NE
Grand Rapids, MI 49525
Phone (616) 808-0333

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1841035342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 N HENDERSON RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238113",
            "telephone_number": "810-922-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 KRAFT AVE SE STE 186",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122076",
            "telephone_number": "616-949-9551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Leonard St NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495255831",
            "country_code": "US",
            "telephone_number": "616-808-0333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSS",
        "first_name": "JORDAN",
        "middle_name": "LYNN",
        "credential": "MA, LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451022762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.