Crossroads Counseling Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CROSSROADS COUNSELING SERVICES

Practice address

1800 Business Park Dr Ste 104
Clarksville, TN 37040-6027

Phone

(931) 229-0876

NPI assigned

May 31, 2019

Last updated

May 31, 2019By 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

Aimee YasinNPI 1679909626

Title

Counselor/Owner

Phone

(931) 229-0876

Specialties & licenses 1

Addresses

Other names 1

• Crossroads Counseling Services Other name

Electronic endpoints 1

Locations

Practitioners 1

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.

• Aimee Yasin, LPC-MHSP

  • Professional Counselor
  • Clarksville, TN
  • NPI 1679909626
  NPD Authorized official

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1932767340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BUSINESS PARK DR STE 104",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406027",
            "telephone_number": "931-229-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BUSINESS PARK DR STE 104",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370406027",
            "telephone_number": "931-229-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "YASIN",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "COUNSELOR/OWNER",
        "authorized_official_telephone_number": "931-229-0876"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "contact@crossroadscounselingtn.com",
            "affiliation": "N",
            "address_1": "1800 Business Park Dr Ste 104",
            "city": "Clarksville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370406027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crossroads Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Justin Paul Crosslin, CPHT-ADV
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.