NPIMap

Organization Active NPI

Cross Behavioral Consulting

  • Community/Behavioral Health Agency
  • Waldorf, MD
National Provider Identifier
1972160406
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CROSS BEHAVIORAL CONSULTING
Practice address
2670 Crain Hwy Ste 510
Waldorf, MD 20601-2819
Phone
(301) 374-8772
Fax
(301) 374-8773
NPI assigned
May 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Ms. Ebony Joi Cross, CRNP-PMHNPI 1508303801
Title
Psychiatric Nurse Practitioner
Phone
(919) 408-4627

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Community/Behavioral Health Agency 251S00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2670 Crain Hwy Ste 510
Waldorf, MD 20601-2819

Mailing address

2670 Crain Hwy Ste 510
Waldorf, MD 20601-2819
Phone (301) 374-8772

Other identifiers 1

IdentifierTypeStateIssuer
916017501MedicaidMD

Other names 1

  • Arise Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200908000045 MD Part B Supplier - Clinic/Group Practice 8123445194 Receives reassigned benefits from 5 practitioners
Practice locations: Waldorf, MD

National Provider Directory

National Provider Directory
Tax ID family
Arise Behavioral Health4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 5

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": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1972160406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 510",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012819",
            "telephone_number": "301-374-8772",
            "fax_number": "301-374-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY STE 510",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012819",
            "telephone_number": "301-374-8772",
            "fax_number": "301-374-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS BEHAVIORAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "JOI",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "919-408-4627",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP-PMH"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "916017501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arise Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.