CROSSROADS LAKE COUNTY ADOLESCENT COUNSELING SERVICES (NPI# 1356303911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356303911 |
| Entity Type | Organization |
| Organization Name | CROSSROADS LAKE COUNTY ADOLESCENT COUNSELING SERVICES |
| Practice Address |
8445 Munson Rd Mentor OH 44060-2410 |
| Practice Telephone | 4402551700 |
| Practice Fax Number | 4402052417 |
| Mailing Telephone | 4402551700 |
| Mailing Fax Number | 4402052417 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2017-07-21 |
| Authorized Official Name | MR. WAYNE W LINDSTROM (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4402551700 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2069738 | 05 | |
| OH | MACSIS UNIQUE PROVIDER ID | 0001318 | 01 |
| Street Address |
8445 MUNSON RD |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169480 | Kailee Morgan Thomas | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-09-16 |
| 1487268801 | Anthony Patrick Genovese | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-09-02 |
| 1336753987 | Kaitlin Lynch | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-09-01 |
| 1063026813 | Lucia A Marinu | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-08-31 |
| 1174136279 | Kyle Clawson | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-08-28 |
| 1336752435 | Kelsey Saywell | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-08-28 |
| 1669085668 | Melanie Pattison | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-08-28 |
| 1821607029 | Bryce Anthony Geschke | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-07-24 |
| 1962010256 | Graesyn Layne Schwind Engler | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-07-22 |
| 1285251652 | Jessica Lynne Aponte | Community/Behavioral Health | 8445 Munson Rd, Mentor, OH 44060-2410 | 2020-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340511 | Alliance Therapeutic Practices, LLC | Clinic/Center | 822 Delta Ave Ste 1, Cincinnati, OH 45226-1256 | 2020-09-14 |
| 1922610898 | Alyssa Banks | Clinic/Center | 915 N Erie St, Toledo, OH 43604-1605 | 2020-08-20 |
| 1154931574 | Compassionate Connections for Children LLC | Clinic/Center | 7060 Copperglow Ct, Cincinnati, OH 45244-3649 | 2020-08-01 |
| 1568085876 | Laura Irene Davis | Clinic/Center | 2020 Brice Rd Ste 110, Reynoldsburg, OH 43068-3448 | 2020-05-20 |
| 1407481021 | Counseling On Purpose, LLC | Clinic/Center | 1350 5th Ave Ste 310, Youngstown, OH 44504-1765 | 2020-03-04 |
| 1639710361 | Soaring On Success, LLC | Clinic/Center | 2146 N 13th St, Toledo, OH 43620-1909 | 2019-10-03 |
| 1366928863 | Fairmount Mental Wellness LLC | Clinic/Center | 2460 Fairmount Blvd Ste 317, Cleveland Heights, OH 44106-3164 | 2018-07-17 |
| 1891286548 | Robin's House | Clinic/Center | 326 Bierce Ave, Dayton, OH 45403-2657 | 2018-05-29 |
| 1558869206 | Pathways Behavioral Healthcare, Inc. | Clinic/Center | 333 S Main St Ste 105, Akron, OH 44308-1210 | 2018-01-29 |
| 1508379314 | Trumbull County Children Services | Clinic/Center | 2282 Reeves Rd Ne, Warren, OH 44483-4300 | 2017-11-15 |
| Find all providers with the same taxonomy | ||||
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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.