CROSSROADS FAMILY COUNSELING CENTER, LLC (NPI# 1154381671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154381671 |
| Entity Type | Organization |
| Organization Name | CROSSROADS FAMILY COUNSELING CENTER, LLC |
| Practice Address |
4614 E Shea Blvd Phoenix AZ 85028-3081 |
| Mailing Address |
39737 N High Noon Way Anthem AZ 85086-2376 |
| Practice Telephone | 6023167134 |
| Mailing Telephone | 6235519234 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2009-02-04 |
| Authorized Official Name | MR. TRAVIS EUGENE FRYE (OWNER AND FOUNDER) |
| Authorized Official Telephone | 6236803486 |
| Authorized Official Credential | MA, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-12149 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487011755 | Crossroads Family Counseling Center, LLC | Social Worker | 3611 Chain Bridge Rd, Suite C, Fairfax, VA 22030-3246 | 2016-01-18 |
| Street Address |
4614 E SHEA BLVD |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85028-3081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585810 | Philip Gleason | Urology | 4614 E Shea Blvd, D-110, Phoenix, AZ 85028-3070 | 2005-08-16 |
| 1043437965 | Judd Edward Cummings | Orthopaedic Surgery | 4614 E Shea Blvd, Suite D 160, Phoenix, AZ 85028-3070 | 2007-04-20 |
| 1508998147 | Arizona Pediatric Urology, P.C. | Urology | 4614 E Shea Blvd, D-110, Phoenix, AZ 85028-3070 | 2007-03-09 |
| 1821143876 | Paul Joseph Carollo | Counselor | 4614 E Shea Blvd, Suite D250, Phoenix, AZ 85028-3070 | 2007-01-23 |
| 1427105048 | Sean Joseph Brimacombe | Orthopaedic Surgery | 4614 E Shea Blvd, D-160, Phoenix, AZ 85028-3070 | 2007-01-04 |
| 1548340839 | Frank W Moussa | Orthopaedic Surgery | 4614 E Shea Blvd, Suite D-160, Phoenix, AZ 85028-3070 | 2006-10-17 |
| 1366410029 | Travis Eugene Frye | Counselor | 4614 E Shea Blvd, Suite D-250, Phoenix, AZ 85028-3070 | 2006-03-09 |
| 1376523399 | Matthew J Seidel | Orthopaedic Surgery | 4614 E Shea Blvd, Suite D-160, Phoenix, AZ 85028-3070 | 2006-01-17 |
| 1235119355 | Bruce A Mallin | Orthopaedic Surgery | 4614 E Shea Blvd, Suite D160, Phoenix, AZ 85028-3070 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
| 1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
| 1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
| 1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
| 1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
| 1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
| 1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
| 1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
| Find all providers in zip 85028 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557729 | Psychological and Consulting Services LLC | Counselor | 331 N 1st Ave Ste 102, Phoenix, AZ 85003-4528 | 2020-10-27 |
| 1447863683 | Mindscape Wellness LLC | Counselor | 4545 N 36th St Ste 117, Phoenix, AZ 85018-3473 | 2020-08-27 |
| 1700496718 | Suma Hodge | Counselor | 2341 N 83rd Dr, Phoenix, AZ 85037-3742 | 2020-08-04 |
| 1992322127 | North Pointe Services | Counselor | 1807 W Sienna Bouquet Pl, Phoenix, AZ 85085-8042 | 2020-07-03 |
| 1023630308 | Mary Squires Moran | Counselor | 14040 N Cave Creek Rd Ste 205, Phoenix, AZ 85022-6179 | 2020-05-10 |
| 1467087106 | Omnipotent Health Services | Counselor | 3442 W Paradise Dr, Phoenix, AZ 85029-2239 | 2020-03-03 |
| 1124650536 | Erica Van Parys | Counselor | 3207 E Medlock Dr, Phoenix, AZ 85018-1426 | 2020-02-05 |
| 1790324556 | Amy Kathleen Engle | Counselor | 2432 W Peoria Ave Ste 1123, Phoenix, AZ 85029-4733 | 2019-12-26 |
| 1851934012 | Extinguishing Fear Life Coaching | Counselor | 4435 E Chandler Blvd, Phoenix, AZ 85048-7649 | 2019-10-21 |
| 1134761661 | Kerry Jean Ramella | Counselor | 809 W Maryland Ave, Phoenix, AZ 85013-1325 | 2019-10-16 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.