Anna Doherty, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.006.007 Issued in IL

Practice address

Crossroads Counseling Services
1802 N Division St Suite 509
Morris, IL 60450

Phone

(815) 941-3882

NPI assigned

Dec 12, 2019

Last updated

Dec 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Counseling Services, PLLCGroup PAC ID 9234280710, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crossroads Counseling Services, PLLC

  • Adult Mental Health Clinic/Center
  • Morris, IL
  • NPI 1427205111
  Medicare reassignment Care Compare group
• Crossroads Counseling Services, PLLC

  • Adult Mental Health Clinic/Center
  • Yorkville, IL
  • NPI 1376247643
  NPD

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1922646652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CROSSROADS COUNSELING SERVICES",
            "address_2": "1802 N DIVISION ST SUITE 509",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "60450",
            "telephone_number": "815-941-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CROSSROADS COUNSELING SERVICES",
            "address_2": "1802 N DIVISION ST SUITE 509",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "60450",
            "telephone_number": "815-941-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "ANNA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.006.007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Diaz Jr., MA
• Digestive Health Associates, P.C.
• Digestive Health Associates, P.C.
• Kristen E Dion, MAT, ATC, OTC
• Robert Dirmish, M.D.
• Kayleigh M Doti
• Dr. Matthew P. Bell and Associates PC
• Dreamcatcher ABA LLC
• Dreamcatcher ABA LLC
• Danise Louise Dryfhout, APN, FNP-C, RN

• Professional Counselor in Morris, IL
• Providers in Morris, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.