NPIMap

Organization Active NPI

Crossroads Programs

  • Case Management Agency
  • Mount Holly, NJ
National Provider Identifier
1952431900
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
4030 Issued in NJ
Legal business name
CROSSROADS PROGRAMS
Practice address
15 Washington St
Disc
Mount Holly, NJ 08060-1734
Phone
(609) 880-0210
Fax
(609) 880-0230
NPI assigned
Mar 7, 2007
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
Cheryl Conway, L.C.S.W.
Title
Ceo
Phone
(609) 880-0210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 4030 NJ Primary

Addresses

Primary practice location

15 Washington St
Disc
Mount Holly, NJ 08060-1734

Mailing address

610 Beverly Rancocas Rd
Disc
Willingboro, NJ 08046-3736
Phone (609) 880-0210

Other identifiers 1

IdentifierTypeStateIssuer
0017579MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Crossroads Programs13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952431900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 BEVERLY RANCOCAS RD",
            "address_2": "DISC",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080463736",
            "telephone_number": "609-880-0210",
            "fax_number": "609-880-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WASHINGTON ST",
            "address_2": "DISC",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601734",
            "telephone_number": "609-880-0210",
            "fax_number": "609-880-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS PROGRAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-880-0210",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NJ",
            "license": "4030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017579",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

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.