Organization Active NPI

Crossroads Resources, LLC

  • Community/Behavioral Health Agency
  • Chadron, NE
National Provider Identifier
1952553828
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROSSROADS RESOURCES, LLC
Practice address
104 W 3Rd St
Chadron, NE 69337-2314
Phone
(308) 430-4610
Fax
(308) 747-2147
NPI assigned
Oct 22, 2008
Last updated
Aug 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Joan M Yekel, LIMHPNPI 1336360684
Title
Owner
Phone
(308) 430-4610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

104 W 3Rd St
Chadron, NE 69337-2314

Mailing address

104 W. 3Rd St
P. O. Box 1299
Chadron, NE 69337-1299
Phone (308) 430-4610

Other identifiers 2

IdentifierTypeStateIssuer
10025477200MedicaidNE
1336360684OtherNENPI FOR AN INDIVIDUAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240605002629 NE Part B Supplier - Clinic/Group Practice 1658813647 Receives reassigned benefits from 1 practitioner
Practice locations: Chadron, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1952553828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W. 3RD ST",
            "address_2": "P. O. BOX 1299",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693371299",
            "telephone_number": "308-430-4610",
            "fax_number": "308-747-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 3RD ST",
            "city": "CHADRON",
            "state": "NE",
            "postal_code": "693372314",
            "telephone_number": "308-430-4610",
            "fax_number": "308-747-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "YEKEL",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-430-4610",
        "authorized_official_credential": "LIMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025477200",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR AN INDIVIDUAL",
            "identifier": "1336360684",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chadron, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.