CROSSROADS HEALTH
NPI 1093307654
Clinic/Center - Federally Qualified Health Center (FQHC) in Mentor, OH
About Crossroads Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CROSSROADS HEALTH (NPI 1093307654), doing business as Crossroads Lake County Adolescent Counseling, is a healthcare organization registered as a federally qualified health center (fqhc) in Mentor, Ohio and active in the NPI registry since February 2021. The organization holds a CLIA Microscopy certificate valid through July 27, 2027, maintains a secondary practice location in Mentor, and lists Alice Iden, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crossroads Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Crossroads Health, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 34Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D2230837
Crossroads Health · Mentor, OHFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Crossroads Health's NPI number?
The NPI number for Crossroads Health is 1093307654. It was assigned to this organization in the NPPES registry on February 5, 2021. The provider was formerly known as Crossroads Lake County Adolescent Counseling.
Where is Crossroads Health located?
Crossroads Health is located at 9220 Mentor Ave, Mentor, OH 44060. The listed phone number is (440) 354-9924.
What is Crossroads Health's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Crossroads Health enrolled in Medicare?
Yes. Crossroads Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crossroads Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 5 Medicare specialties reassign their Medicare billing to Crossroads Health. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (14), Clinical Social Worker (11) and Nurse Practitioner (6). Of these, 6 practice at this address and 22 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Crossroads Health hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D2230837) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Crossroads Health accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Crossroads Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Crossroads Health was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Crossroads Health · NPI 1093307654
Federally Qualified Health Center (FQHC) organization in Mentor, Ohio. Organization record, active in the CMS NPPES registry since February 5, 2021.
## Identity
- **NPI:** 1093307654 (Entity type: Organization)
- **Enumerated:** February 5, 2021
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Alice Iden, COO
## Practice location
- **Address:** 9220 MENTOR AVE, Mentor, OH 44060-6412
- **Phone:** (440) 354-9924 · **Fax:** (877) 242-9583
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 34 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Mental Health Counselor (14), Clinical Social Worker (11), Nurse Practitioner (6); 6 practice at this address and 22 within 10 miles; [full list](https://npiprofile.com/npi/1093307654/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2024
- **Other identifiers:** Medicaid 0435072 (OH)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093307654) · Data from the CMS NPPES public registry.