CROSSROADS FAMILY COUNSELING LLC (NPI# 1407187974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407187974 |
| Entity Type | Organization |
| Organization Name | CROSSROADS FAMILY COUNSELING LLC |
| Practice Address |
12569 S 2700 W Ste 202b Riverton UT 84065-7182 |
| Practice Telephone | 8015977673 |
| Enumeration Date | 2010-01-24 |
| Last Update Date | 2010-01-24 |
| Authorized Official Name | NICOLE R. WATERS (SOLE MEMBER) |
| Authorized Official Telephone | 8015977673 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 5087227-6004 | UT | Managed Care Organizations |
| Street Address |
12569 S 2700 W STE 202B |
| City | RIVERTON |
| State | UT |
| Zip Code | 84065-7182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972248 | William Lance Andersen | Pharmacist | 1202 W 12600 W, Riverton, UT 84065 | 2020-11-02 |
| 1275172678 | Dentists of Riverton, LLP | Dentist | 4531 W. Partridgehill Lane, Suite F-110, Riverton, UT 84065 | 2020-01-02 |
| 1194201467 | Patrick Kunkel | Dentist | 12569 2700 W, #100, Riverton, UT 84065 | 2018-07-19 |
| 1790274546 | Harmon City Inc | Pharmacy | 13330 South Kestrel Range Road, Riverton, UT 84065 | 2018-05-08 |
| 1386147767 | Richard Hayes Johnston | Counselor | 3740 S Market Center Dr #1200, Riverton, UT 84065 | 2018-03-13 |
| 1023537156 | Brenda Fuell | Dental Hygienist | 12959 South Picket Fence Lane, Riverton, UT 84065 | 2017-09-09 |
| 1407373426 | Bethany Marie Breck | Counselor | 3740 S Market Center Drive, #1200, Riverton, UT 84065 | 2017-08-30 |
| 1952848509 | Renaissance Ranch Bluffdale Women's Program | Substance Abuse Rehabilitation Facility | 2356 Thunderhead Way, Bluffdale, UT 84065 | 2017-01-20 |
| 1053856229 | Bradford Scott Bentley Jr. | Physical Therapist | 3741 W 12600 S, Ste 100, Riverton, UT 84065 | 2016-12-27 |
| 1194273524 | New Horizon | Preferred Provider Organization | 1420 W 12600 Sputh, Draper, UT 84065 | 2016-09-14 |
| Find all providers in zip 84065 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447601117 | Hope & Healing LLC | Point of Service | 336 W 3162 S, Washington, UT 84780-8352 | 2016-06-23 |
| 1245607068 | Main Street Dental of Salt Lake City | Point of Service | 3195 S Main St Ste 201, Salt Lake City, UT 84115-3749 | 2015-08-27 |
| 1245636752 | Associated Mental Health Services | Point of Service | 550 S 700 E, Smithfield, UT 84335-1376 | 2014-11-11 |
| 1437555943 | Pediatric Massage | Point of Service | 3493 W Danube Dr, Taylorsville, UT 84129-7869 | 2014-11-10 |
| 1386944171 | Linguistica International | Point of Service | 570 E 3900 S, Salt Lake City, UT 84107-1802 | 2010-10-26 |
| 1386952448 | Aa Pure Health Inc | Point of Service | 491 E Riverside Dr, Suite 4b, St George, UT 84790-7051 | 2010-09-22 |
| 1275730749 | Mountain View Medical, LLC | Point of Service | 2122 West 1800 North Pmb 413, Clinton, UT 84015 | 2007-06-28 |
| 1225068398 | Tooele County School District | Point of Service | 92 Lodestone Way, Tooele, UT 84074-8050 | 2006-07-04 |
| 1770961955 | Proactive Pain Center | Point of Service | 10965 S State St, Sandy, UT 84070-4270 | 2015-05-08 |
| 1801227830 | Farr West Urgent Care and Family Medicine LLC | Point of Service | 2850 N 2000 W, Suite 101, Farr West, UT 84404 | 2013-12-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CROSSROADS FAMILY COUNSELING LLC.
| 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.