NPIMap

Organization Active NPI

Crossroads Community Counseling

  • Psychologist
  • Naperville, IL
National Provider Identifier
1902916976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CROSSROADS COMMUNITY COUNSELING
Practice address
1701 Quincy Ave
Suite 31
Naperville, IL 60540-3955
Phone
(630) 428-1056
Fax
(630) 428-1167
NPI assigned
Aug 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Michael M Murphy
Title
Pastor
Phone
(630) 428-1056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1701 Quincy Ave
Suite 31
Naperville, IL 60540-3955

Mailing address

1701 Quincy Ave
Suite 31
Naperville, IL 60540-3955
Phone (630) 428-1056

Other identifiers 1

IdentifierTypeStateIssuer
0002227811OtherILBLUE CROSS PROVIDER NUMBE

National Provider Directory

National Provider Directory

Locations

1701 Quincy Ave
Ste 31
Naperville, IL 60540
Phone (630) 428-1056

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902916976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 QUINCY AVE",
            "address_2": "SUITE 31",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403955",
            "telephone_number": "630-428-1056",
            "fax_number": "630-428-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 QUINCY AVE",
            "address_2": "SUITE 31",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605403955",
            "telephone_number": "630-428-1056",
            "fax_number": "630-428-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COMMUNITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PASTOR",
        "authorized_official_telephone_number": "630-428-1056"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "0002227811",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.