Crossroads Counseling Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4955 Issued in NC

Legal business name

CROSSROADS COUNSELING SERVICES

Practice address

224 N Main St
Jefferson, NC 28640-9664

Phone

(336) 846-7492

Fax

(336) 846-7397

NPI assigned

Mar 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Elizabeth Gentry, LPCNPI 1114040490

Title

Mental Health Therapist and Co-Owne

Phone

(336) 846-7492

Specialties & licenses 5

Addresses

Other identifiers 2

Practitioners 4

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.

• Amanda Elizabeth Gentry, L.P.C.

  • Professional Counselor
  • Jefferson, NC
  • NPI 1114040490
  NPD (past) Authorized official
• Jenny Gibbs Holmes, LPC

  • Professional Counselor
  • Fleetwood, NC
  • NPI 1225163603
  NPD (past)
• Susan Campbell McCachren

  • Social Worker
  • Boone, NC
  • NPI 1407071996
  NPD (past)
• Anna Gabriel Ward, LPC

  • Professional Counselor
  • Jefferson, NC
  • NPI 1538361142
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932168689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286400212",
            "telephone_number": "336-846-7492",
            "fax_number": "336-846-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N MAIN ST",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409664",
            "telephone_number": "336-846-7492",
            "fax_number": "336-846-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST AND CO-OWNE",
        "authorized_official_telephone_number": "336-846-7492",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3369",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C003481",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "1903",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "3359",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "012T0",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005268",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Clark, LPC
• Michele Tidwell Cole, FNP
• County of Ashe (Ashe County EMS)
• County of Ashe (Ashe County Department of Social Services)
• Karen Creed
• Sydney Christine Cryder, DO
• Jacob Culler
• Harrison Alexander Daves, DO
• Jessica Stroud Davis
• Daymark Recovery .Services Inc

• Mental Health Counselor in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Mental Health Counselor in North Carolina

• 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.