CROSSROADS ADDICTION RECOVERY EFFORT, LLC (NPI# 1942667456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942667456 |
| Entity Type | Organization |
| Organization Name | CROSSROADS ADDICTION RECOVERY EFFORT, LLC |
| Practice Address |
484 Tollage Crk Pikeville KY 41501 |
| Mailing Address |
Po Box 157 Pikeville KY 41502-0157 |
| Practice Telephone | 6066372273 |
| Practice Fax Number | 6066377849 |
| Mailing Telephone | 6062186011 |
| Mailing Fax Number | 6064783245 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-08-12 |
| Authorized Official Name | JANELLE WHITE (CEO/OWNER) |
| Authorized Official Telephone | 6064229330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 175T00000X | Peer Specialist | Other Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100416980 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 255 Church St, Suite 102b, Pikeville, KY 415013476 | 6062186011 | 6064783245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063982601 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501-3305 | 2018-11-27 |
| Street Address |
484 TOLLAGE CRK |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502733 | J & J Diagnostics | Physician Assistant | 484 Tollage Crk, Pikeville, KY 41501-3305 | 2019-08-04 |
| 1063982601 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501-3305 | 2018-11-27 |
| 1114407426 | Care of Ky | Clinical Medical Laboratory | 484 Tollage Crk, Pikeville, KY 41501-3305 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| 1427330760 | Central Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 171 Hibbard Street, Suite 3, Pikeville, KY 41501 | 2011-09-13 |
| Find all providers in zip 41501 | ||||
| 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 |
|---|---|---|---|---|
| 1417493594 | Anchored Hope Counseling Plcc | Community/Behavioral Health | 6883 Millard Hwy, Suite 2, Pikeville, KY 41501-7945 | 2017-01-12 |
| 1871909879 | Westcare Kentucky, Inc. | Community/Behavioral Health | 173 Redale Rd, Pikeville, KY 41501-9072 | 2014-07-10 |
| 1649692344 | Alcohol and Substance Abuse Professionals | Community/Behavioral Health | 118 Caroline Ave, Suite 2, Pikeville, KY 41501-3988 | 2014-01-15 |
| 1174867618 | S.t.a.n.d...ing, Inc | Community/Behavioral Health | 206 S Goldsboro Rd, Pikeville, NC 27863-8335 | 2012-11-21 |
| 1134369721 | Asap Plus Inc. | Community/Behavioral Health | 122 Division St, Suite 202, Pikeville, KY 41501-1116 | 2009-02-23 |
| 1720456403 | Sunrise Children's Services | Community/Behavioral Health | 123 Weddington Branch Rd, Pikeville, KY 41501 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1386245637 | J&j Housing | Community/Behavioral Health | 2923 Wesleyan Park Dr, Owensboro, KY 42301-5477 | 2020-11-03 |
| 1972101368 | Solutions Counseling Center Lllp | Community/Behavioral Health | 12700 Townepark Way Ste 305, Louisville, KY 40243-2543 | 2020-10-16 |
| 1710585088 | Vicki S Ragsdell, Phd Pllc | Community/Behavioral Health | 12004 Log Cabin Ln, Louisville, KY 40223-2218 | 2020-10-09 |
| 1255938411 | Intrinzik Health Care Services | Community/Behavioral Health | 620 Chieftain Dr, Fairdale, KY 40118-9678 | 2020-10-01 |
| 1609483031 | Divine Steps Inc. | Community/Behavioral Health | 3050 W Broadway Ste 1d, Louisville, KY 40211-1475 | 2020-09-29 |
| 1346855590 | First Choice Solution LLC. | Community/Behavioral Health | 285 E Sixth St, Lexington, KY 40508-1564 | 2020-09-14 |
| 1972129591 | Evolved Counseling | Community/Behavioral Health | 8814 Talon Ridge Dr, Louisville, KY 40229-6648 | 2020-06-19 |
| 1770107666 | Interconnected Behavior Essentials Skills Training & Conulting LLC | Community/Behavioral Health | 650 S Highway 27 Ste 5, Somerset, KY 42501-3501 | 2020-06-05 |
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| 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.