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CROSSROADS HEALTH
NPI 1093307654
Clinic/Center - Federally Qualified Health Center (FQHC) in Mentor, OH

Active since February 05, 2021CLIA 36D2230837 · Microscopy
9220 MENTOR AVE, MENTOR, OH 44060(440) 354-9924(877) 242-9583 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 19, 2023, Sep 8, 2021, Feb 5, 2021 (3 updates tracked since 2021).

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

NPI1093307654
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCROSSROADS HEALTH
Location Address9220 MENTOR AVEMentor, OH 44060-6412
Mailing Address8445 Munson RdMentor, OH 44060-2410 · (440) 255-1700
Phone(440) 354-9924
Fax(877) 242-9583
Organization SubpartNo
Authorized OfficialAlice IdenCoo · (440) 255-1700
Enumeration DateFebruary 5, 2021
Last NPPES UpdateJanuary 29, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1093307654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
9220 MENTOR AVE, Mentor, OH 44060
Open in Google Maps ↗

Other Names 1

Former Legal Business NameCrossroads Lake County Adolescent Counseling

Secondary Practice Location 1

Location 18445 Munson RdMentor, OH 44060-2410 · Phone (440) 255-1700

Other Identifiers 1

Medicaid0435072OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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, OH
Active · expires Jul 27, 2027
CLIA Number36D2230837
Laboratory TypeCommunity Clinic
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorKelley L. Pastor
Laboratory Phone(440) 354-9924
Laboratory LocationCrossroads Health9220 Mentor Ave, Mentor, OH 44060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH EAST OHIO HEALTH SERVICES
Pharmacy (Long Term Care Pharmacy)
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 354-9924
MARY C KOZINA LISW-S
Social Worker
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3509
DR. MICHAEL LOUIS GORJANC MD
Psychiatry & Neurology (Psychiatry)
9220 MENTOR AVE, BEACON HEALTH
MENTOR, OH 44060
Lake County (440) 639-3509
CHERYL A. WILSON LPCC
Counselor
9220 MENTOR AVE, BEACON HEALTH
MENTOR, OH 44060
Lake County (440) 639-3509
MICHAEL ONEILL LPN
Licensed Practical Nurse
9220 MENTOR AVE, BEACON HEALTH
MENTOR, OH 44060
Lake County (440) 639-3509
BEACON HEALTH
Community/Behavioral Health
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 354-9924
MR. JAY A NESBIT R.PH.
Pharmacist
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 497-4168
SHANNON MCFARLAND
Case Manager/Care Coordinator
9220 MENTOR AVE
MENTOR, OH 44060
Lake County (440) 639-3581

Frequently Asked Questions

What is CROSSROADS HEALTH's NPI number?

The NPI number assigned to this healthcare provider is 1093307654, enumerated as an "organization" on February 05, 2021.

Where is the provider located?

The provider is located at 9220 MENTOR AVE MENTOR, OH 44060 and the phone number is (440) 354-9924.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does CROSSROADS HEALTH accept?

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.