Organization Active NPI

Crossmont & Associates, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Oak Lawn, IL
National Provider Identifier
1861542334
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A-1545-0001-A Issued in IL
Legal business name
CROSSMONT & ASSOCIATES, INC.
Practice address
10522 S Cicero Ave
Suite 302
Oak Lawn, IL 60453-5200
Phone
(708) 229-0700
Fax
(708) 229-0173
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Authorized official

Name
Dr. Edna R Cross, PHD
Title
President
Phone
(708) 229-0700

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X A-1545-0001-A IL Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X A-1545-0001-A IL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X A-1545-0001-A IL

Addresses

Primary practice location

10522 S Cicero Ave
Suite 302
Oak Lawn, IL 60453-5200

Mailing address

10522 S Cicero Ave
Suite 302
Oak Lawn, IL 60453-5200
Phone (708) 229-0700

National Provider Directory

National Provider Directory

Locations

10522 S Cicero Ave
#301302
Oak Lawn, IL 60453
Phone (708) 229-0700

10522 S Cicero Ave
Ste 302
Oak Lawn, IL 60453
Phone (708) 229-0700

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1861542334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE",
            "address_2": "SUITE 302",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535200",
            "telephone_number": "708-229-0700",
            "fax_number": "708-229-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10522 S CICERO AVE",
            "address_2": "SUITE 302",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535200",
            "telephone_number": "708-229-0700",
            "fax_number": "708-229-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSMONT & ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-229-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IL",
            "license": "A-1545-0001-A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "A-1545-0001-A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "A-1545-0001-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.