Crossroads Counseling Center, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080259 Issued in NY

Legal business name

CROSSROADS COUNSELING CENTER, INC.

Practice address

440 Furrows Rd
2ND FL.
Holbrook, NY 11741-2700

Phone

(631) 714-5407

NPI assigned

May 30, 2016

Last updated

May 30, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Hart

Title

LCSW

Phone

(631) 714-5407

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464566400000",
    "number": "1841648920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 FURROWS RD",
            "address_2": "2ND FL.",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412700",
            "telephone_number": "631-714-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 FURROWS RD",
            "address_2": "2ND FL.",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117412700",
            "telephone_number": "631-714-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-30",
        "last_updated": "2016-05-30",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "631-714-5407"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2016; 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.