Organization Active NPI

Crossings Counseling, LLC

  • Clinical Social Worker
  • Pratt, KS
National Provider Identifier
1992206494
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CROSSINGS COUNSELING, LLC
Practice address
111 W 2ND St
Pratt, KS 67124-2644
Phone
(620) 672-6168
Fax
(620) 672-6168
NPI assigned
Feb 21, 2018
Last updated
Apr 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Authorized official

Name
Sara N Wallace, LSCSWNPI 1811142557
Title
Provider/Therapist
Phone
(620) 672-6168

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

111 W 2ND St
Pratt, KS 67124-2644

Mailing address

111 W 2ND St
Pratt, KS 67124-2644
Phone (620) 672-6168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180302000291 KS Part B Supplier - Clinic/Group Practice 6800157033 Receives reassigned benefits from 1 practitioner
Practice locations: Pratt, KS

National Provider Directory

National Provider Directory

Locations

111 W 2nd St
Pratt, KS 67124
Phone (620) 672-6168

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554163200000",
    "number": "1992206494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W 2ND ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242644",
            "telephone_number": "620-672-6168",
            "fax_number": "620-672-6168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W 2ND ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242644",
            "telephone_number": "620-672-6168",
            "fax_number": "620-672-6168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSINGS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2019-04-02",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PROVIDER/THERAPIST",
        "authorized_official_telephone_number": "620-672-6168",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.