CROSSROADS SERVICES BOARD (NPI# 1528091063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528091063 |
| Entity Type | Organization |
| Organization Name | CROSSROADS SERVICES BOARD |
| Practice Address |
60 Bush River Drive Farmville VA 23901 |
| Mailing Address |
P.o. Drawer 248 Farmville VA 23901 |
| Practice Telephone | 4343927049 |
| Practice Fax Number | 4343929221 |
| Mailing Telephone | 4343927049 |
| Mailing Fax Number | 4343929221 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | MICHELLE FOORE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 4343927049 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004945450 | 05 |
| Street Address |
60 BUSH RIVER DRIVE |
| City | FARMVILLE |
| State | VA |
| Zip Code | 23901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346470168 | Lorna Murtland Secondi | Social Worker | 60 Bush River Drive, Farmville, VA 23901 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
| 1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
| 1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| Find all providers in zip 23901 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639631450 | Arthur Lee Byrd Sr. | Community/Behavioral Health | 512 S Bridge St, Farmville, VA 23901-2404 | 2019-04-01 |
| 1053872135 | Forever Endeavor LLC | Community/Behavioral Health | 1 Mill St Ste 100, Farmville, VA 23901-3401 | 2019-03-29 |
| 1508161175 | Virginia Youth Outreach Services, Inc. | Community/Behavioral Health | 1012 W 3rd St Ste D, Farmville, VA 23901-3070 | 2011-01-12 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1407181308 | Family Preservation Services, Inc | Community/Behavioral Health | 1482 Zion Hill Road, Farmville, VA 23901 | 2009-10-09 |
| 1225363112 | Family Presrvation Services, Inc. | Community/Behavioral Health | 1603 Zion Hill Road, Farmville, VA 23901 | 2009-10-09 |
| 1598090482 | Family Preservation Services, Inc | Community/Behavioral Health | 1666 Zion Hill Road, Farmville, VA 23901 | 2009-10-09 |
| 1922248103 | Uplift Therapeutic Services Inc | Community/Behavioral Health | 4141 E Prince Rd, Farmville, NC 27828-1883 | 2009-02-27 |
| 1316077621 | Heartland Family Counseling Services | Community/Behavioral Health | 1509 W Third St, Farmville, VA 23901 | 2007-03-06 |
| 1285710525 | Family Preservation Services, Inc | Community/Behavioral Health | 405d E 3rd St, Farmville, VA 23901-1511 | 2006-10-30 |
| Find all providers in FARMVILLE | ||||
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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.