NPIMap

Organization Active NPI

Crossroads

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Fort Worth, TX
National Provider Identifier
1992385033
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X
Legal business name
CROSSROADS
Practice address
6733 Camp Bowie Blvd
Fort Worth, TX 76116-7112
Phone
(817) 386-9180
Fax
(817) 386-9138
NPI assigned
Apr 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Ms. Tammy S Arnold-Bulls, LCDC
Title
Counselor
Phone
(817) 386-9180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X Primary

Addresses

Primary practice location

6733 Camp Bowie Blvd
Fort Worth, TX 76116-7112

Mailing address

6733 Camp Bowie Blvd
Fort Worth, TX 76116-7112
Phone (817) 386-9180

Other names 1

  • Crossroads Treatment Center Doing business as

National Provider Directory

National Provider Directory

Locations

6733 Camp Bowie Blvd
Ft Worth, TX 76116
Phone (800) 805-6968

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": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1992385033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167112",
            "telephone_number": "817-386-9180",
            "fax_number": "817-386-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761167112",
            "telephone_number": "817-386-9180",
            "fax_number": "817-386-9138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "ARNOLD-BULLS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "817-386-9180",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.