Organization Active NPI

Crossover Outpatient Services LLC

  • Addiction (Substance Use Disorder) Counselor
  • Marietta, GA
National Provider Identifier
1891217600
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
CROSSOVER OUTPATIENT SERVICES LLC
Practice address
241 Lemon St NE Ste C
Marietta, GA 30060-1644
Phone
(404) 400-1989
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Authorized official

Name
Mr. John Craig Bremner, CACII, CCS
Title
Owner
Phone
(770) 639-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X GA Primary

Addresses

Primary practice location

241 Lemon St NE Ste C
Marietta, GA 30060-1644

Mailing address

227 Sandy Springs PL Ste D-298
Sandy Springs, GA 30328-5918
Phone (404) 400-1989

Other practice location 1

576 Woodruff Road
SuiteD
Greenville, SC 29607
Phone (770) 639-7100

National Provider Directory

National Provider Directory

Locations

241 Lemon St NE
Ste C
Marietta, GA 30060
Phone (404) 400-1989

227 Sandy Springs Pl
Ste D298
Sandy Springs, GA 30328

NPI Registry JSON

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1891217600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SANDY SPRINGS PL STE D-298",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285918",
            "telephone_number": "404-400-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 LEMON ST NE STE C",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601644",
            "telephone_number": "404-400-1989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Woodruff Road",
            "address_2": "SuiteD",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "29607",
            "country_code": "US",
            "telephone_number": "770-639-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CROSSOVER OUTPATIENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "BREMNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-639-7100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CACII, CCS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.