CROSSROADS TREATMENT CENTER OF SAN ANTONIO, PLLC (NPI# 1770016610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770016610 |
Entity Type | Organization |
Organization Name | CROSSROADS TREATMENT CENTER OF SAN ANTONIO, PLLC |
Practice Address |
5121 Crestway Dr Suite 200b San Antonio TX 78239-1980 |
Practice Telephone | 2103103864 |
Enumeration Date | 2017-04-07 |
Last Update Date | 2020-01-16 |
Authorized Official Name | MEGAN THOMS (OPERATIONS SPECIALIST FOR STRATEGIC) |
Authorized Official Telephone | 8287192753 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
Street Address |
5121 CRESTWAY DR SUITE 200B |
City | SAN ANTONIO |
State | TX |
Zip Code | 78239-1980 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912019209 | Anne Leigh Reese | Occupational Therapist | 5121 Crestway Dr, Suite 507, San Antonio, TX 78239-1980 | 2006-08-31 |
1578722112 | Kendall Leigh Cox | Occupational Therapist | 5121 Crestway Dr, Suite 507, San Antonio, TX 78239-1980 | 2008-06-09 |
1922283217 | Elizabeth Schlegel | Physical Therapist | 5121 Crestway Dr, San Antonio, TX 78239-1980 | 2008-01-04 |
1497941033 | Tara L. Kirkpatrick | Speech-Language Pathologist | 5121 Crestway Dr, #507, San Antonio, TX 78239-1980 | 2007-09-18 |
1669673034 | Kristi Moor | Speech-Language Pathologist | 5121 Crestway Dr, Suite 507, San Antonio, TX 78239-1980 | 2007-05-31 |
1215029061 | Frances F. Johns | Speech-Language Pathologist | 5121 Crestway Dr, Suite 507, San Antonio, TX 78239-1980 | 2006-09-29 |
1326130006 | Kacey R Wernli | Physical Therapist | 5121 Crestway Dr, Suite 507, San Antonio, TX 78239-1980 | 2006-09-29 |
1265534440 | Joann J Paz | Specialist/Technologist | 5121 Crestway Dr, Suite 507, San Antonio, TX 78239-1980 | 2006-09-01 |
1225130404 | Alison Jean Beck | Occupational Therapist | 5121 Crestway Dr, Suite 507, San Antonio, TX 78239-1980 | 2006-09-01 |
1295837458 | Sandra Elsa Giddens | Occupational Therapy Assistant | 5121 Crestway Dr, Suite 507, San Antonio, TX 78239-1980 | 2006-09-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093343071 | Hope Village Wellness Center | Counselor | 8206 Roughrider Drive #201, San Antonio, TX 78239 | 2020-03-27 |
1871056218 | Real Talk Counseling LLC | Emergency Medical Technician, Basic | 5121 Crestway Drive, Suite 109, San Antonio, TX 78239 | 2019-04-11 |
1205382413 | Emerus Bhs Sa Thousand Oaks, LLC | General Acute Care Hospital | 7719 Ih 35 South, San Antonio, TX 78239 | 2016-08-28 |
1285010884 | Aetna Home Health Service | Home Health | 8100 Roughrider Dr, Suite 103, San Antonio, TX 78239 | 2015-08-05 |
1417222944 | Cynthia Lynn Nitchell | Home Health | 8346 Ballantrae2902, San Antonio, TX 78239 | 2012-03-16 |
1134448145 | Sonia Tamez Coutee | Counselor | 8930 Four Winds Drive, Suite 256, San Antonio, TX 78239 | 2010-06-01 |
1134372139 | Allen Harris | Specialist/Technologist, Other | 6815 Buckley Dr., San Antonio, TX 78239 | 2008-11-04 |
1770775173 | Windcrest Cosmetic and General Dentistry Center LLP | Dentist | 8211 Roughrider Dr., Windcrest, TX 78239 | 2007-08-10 |
1841410180 | Timothy D Mccarthy | Physical Therapist | 8920 Four Winds Drive, Suite 101, San Antonio, TX 78239 | 2007-04-27 |
1346467933 | Tim D Boezinger | Occupational Therapist | 8930 Four Winds Dr, San Antonio, TX 78239 | 2007-04-18 |
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Taxonomy Code | 261QM2800X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Methadone Clinic |
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
Notes: [7/1/2003: new] |
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1346671013 | Medmark Treatment Centers of Texas, Inc. | Clinic/Center | 7428d W Military Dr, San Antonio, TX 78227-2949 | 2013-12-06 |
1932415429 | Tejas Recovery and Counseling Services, Inc. | Clinic/Center | 7418 Military Dr W, San Antonio, TX 78227-2949 | 2010-08-23 |
1992966584 | Vcphcs Vii, LLC | Clinic/Center | 519 E. Quincy, San Antonio, TX 78215 | 2008-06-17 |
1437317245 | Rivercity Rehabilitation Center, Inc. | Clinic/Center | 680 Stonewall St, San Antonio, TX 78214-1908 | 2008-05-29 |
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1730652751 | North West Frontier Recovery Pllc | Clinic/Center | 225 Metro Dr Ste 100, Terrell, TX 75160-9103 | 2019-01-03 |
1689194151 | Medication Assisted Recovery Services Mars, LLC | Clinic/Center | 1101 Arrow Point Dr Ste 214, Cedar Park, TX 78613-7739 | 2017-06-26 |
1245765585 | Crossroads Treatment Center of Fort Worth, Pllc | Clinic/Center | 6733 Camp Bowie Blvd, Fort Worth, TX 76116-7112 | 2017-04-24 |
1083150569 | Mcet-longview | Clinic/Center | 505 North Sixth Street, Longview, TX 75602 | 2017-01-09 |
1902263478 | Eldorado Texas Community Service Center | Clinic/Center | 5510 N Cage Blvd Ste P, Pharr, TX 78577-1813 | 2016-01-28 |
1891169215 | Medmark Treatment Centers of Texas,inc | Clinic/Center | 5004 Alameda Ave, El Paso, TX 79905-2804 | 2015-11-23 |
1598133472 | Inspired Hope Group LLC | Clinic/Center | 1228 W Scyene Rd Ste 230, Mesquite, TX 75149-3143 | 2015-09-09 |
1184036790 | Mcet-waskom Limited Liability Company | Clinic/Center | 670 Spur 156, Waskom, TX 75692-9129 | 2014-06-02 |
1821419201 | Lifes Second Chance Treatment Center Lakisha Henderson Nelson Sole Mbr | Clinic/Center | 2615 S Lancaster Rd, Dallas, TX 75216-3112 | 2014-01-02 |
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City | SAN ANTONIO |
Zip Code | 78239 |
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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.