Organization Active NPI

Crossroads Counseling Center

  • Marriage & Family Therapist
  • Oceanside, CA
National Provider Identifier
1881854131
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
712 Issued in CA
Legal business name
CROSSROADS COUNSELING CENTER
Practice address
4140 Oceanside Blvd
Ste 159-112
Oceanside, CA 92056-6005
Phone
(760) 644-0977
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Dr. Joseph B. Kennedy Sr., PH.D.
Title
Executive Director
Phone
(760) 644-0977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 712 CA Primary

Addresses

Primary practice location

4140 Oceanside Blvd
Ste 159-112
Oceanside, CA 92056-6005

Mailing address

4140 Oceanside Blvd
Ste 159-112
Oceanside, CA 92056-6005
Phone (760) 644-0977

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4140 Oceanside Blvd
Ste 159112
Oceanside, CA 92056
Phone (760) 644-0977

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1881854131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 OCEANSIDE BLVD",
            "address_2": "STE 159-112",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566005",
            "telephone_number": "760-644-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 OCEANSIDE BLVD",
            "address_2": "STE 159-112",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920566005",
            "telephone_number": "760-644-0977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-644-0977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.