CROSSROADS BEHAVIORAL HEALTH SERVICES (NPI# 1578531877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578531877 |
Entity Type | Organization |
Organization Name | CROSSROADS BEHAVIORAL HEALTH SERVICES |
Practice Address |
1003 Cottonwood Rd Creston IA 50801 |
Practice Telephone | 6417828457 |
Practice Fax Number | 6417827048 |
Mailing Telephone | 6417828457 |
Mailing Fax Number | 6417827048 |
Enumeration Date | 2006-03-10 |
Last Update Date | 2014-12-12 |
Authorized Official Name | MR. PETER L BRANTNER (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 6417828457 |
Authorized Official Credential | LMHC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0123984 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Iowa Business Entities | CROSSROADS BEHAVIORAL HEALTH SERVICES | 1003 Cottonwood Rd, Creston, IA 50801 |
Street Address |
1003 COTTONWOOD RD |
City | CRESTON |
State | IA |
Zip Code | 50801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376156091 | Anthony Rothmeyer | Community Health Worker | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2020-08-24 |
1407470487 | Joshua John Krueger | Social Worker | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2020-06-04 |
1467095984 | Sharon Kay Heisdorffer | Social Worker | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2019-10-28 |
1306495999 | Stacy Lynn Tallman | Social Worker | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2019-09-06 |
1578115895 | Makayla Leann Carson | Counselor | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2019-07-16 |
1790245546 | Caitlyn Cooper | Nurse's Aide | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2019-03-20 |
1053871863 | Carla Jean Lawson | Registered Nurse | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2019-03-20 |
1669937553 | Erik Michael Martinez | Counselor | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2019-02-05 |
1447714985 | Vickie S Paulus | Registered Nurse | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2019-01-29 |
1851869903 | Kelsey Alexa Ann Fleegel | Counselor | 1003 Cottonwood Rd, Creston, IA 50801-1012 | 2018-11-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053694802 | Crossroads Behavioral Health Center | Clinic/Center | 1003 Cottonwood St., Creston, IA 50801 | 2011-09-27 |
1578735452 | Homestead of Creston Operations LLC | Assisted Living Facility | 1709 West Prairie Street, Creston, IA 50801 | 2008-03-31 |
1194937391 | Swfac Plc | Podiatrist | 1610 W Townline, Creston, IA 50801 | 2007-05-03 |
1013137264 | Virginia W Lents | Dietitian, Registered | 1700 W Townline, Creston, IA 50801 | 2007-04-30 |
1356411219 | Steven Kent Tilley | Dentist | 304 West Lucas, Creston, IA 50801 | 2006-11-08 |
1598859696 | Dennis R Hopkins | Chiropractor | 905 W. Townline St., Creston, IA 50801 | 2006-10-03 |
1922011139 | Theresa R Bensky | Social Worker | 900 W Montgomery St, Creston, IA 50801 | 2006-08-15 |
1164487872 | Area Xiv Agency On Aging | Home Delivered Meals | 215 Montgomery St, Creston, IA 50801 | 2006-04-18 |
1972540011 | James D Gerdes | Family Medicine | 1610 W Townline St, Creston, IA 50801 | 2006-05-31 |
1861037756 | Erin Michelle Knauer | Counselor | 1111 Country Club Dr, Creston, IA 50801-1001 | 2019-11-14 |
Find all providers in zip 50801 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053694802 | Crossroads Behavioral Health Center | Clinic/Center | 1003 Cottonwood St., Creston, IA 50801 | 2011-09-27 |
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1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
1285243337 | Ames Creative Healing Counseling | Clinic/Center | 2135 N Dakota Ave, Ames, IA 50014-9016 | 2020-07-24 |
1487289252 | Compass Counseling Services, LLC | Clinic/Center | 305 Tara Way, Lawton, IA 51030-1026 | 2020-03-11 |
1457986457 | Compassionate Counseling LLC | Clinic/Center | 402 N B St Ste 104, Fairfield, IA 52556-2971 | 2020-03-10 |
1053945576 | North Central Iowa Mental Health Center Inc | Clinic/Center | 2633 Anchorage Rd Ne, Solon, IA 52333-9556 | 2020-02-24 |
1811533649 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 300, Osceola, IA 50213-1249 | 2019-11-27 |
1568007805 | Community Health Centers of Southern Iowa, Inc. | Clinic/Center | 219 W Washington St Ste 200, Osceola, IA 50213-1249 | 2019-11-11 |
1548805021 | Central Iowa Trauma and Recovery Center | Clinic/Center | 301 E Court Ave Ste 105, Des Moines, IA 50309-2004 | 2019-11-08 |
1750938825 | Paradocs Psychological Services | Clinic/Center | 1400 Walnut St #110, Onyx Business, Des Moines, IA 50309 | 2019-08-22 |
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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.