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CROSSROADS TREATMENT CENTER OF CHARLESTON, PC
NPI 1114460375
Clinic/Center - Rehabilitation, Substance Use Disorder in North Charleston, SC

Active since November 21, 2016CLIA 42D2103742 · Waiver
2470 MALL DR UNIT BCD, NORTH CHARLESTON, SC 29406(843) 207-4721 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2024, Nov 19, 2021, Aug 3, 2019 and 1 more (4 updates tracked since 2016).

About Crossroads Treatment Center Of Charleston, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROSSROADS TREATMENT CENTER OF CHARLESTON, PC (NPI 1114460375) is a healthcare organization registered as a rehabilitation, substance use disorder in North Charleston, South Carolina and active in the NPI registry since November 2016. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Rupert J. Mccormac, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114460375
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCROSSROADS TREATMENT CENTER OF CHARLESTON, PC
Location Address2470 MALL DR UNIT BCDNorth Charleston, SC 29406-6514
Mailing AddressPo Box 749057Atlanta, GA 30374-9057 · (800) 805-6989 · Fax (864) 558-5811
Phone(843) 207-4721
Organization SubpartNo
Authorized OfficialRupert J. MccormacCeo · (800) 805-6989
Enumeration DateNovember 21, 2016
Last NPPES UpdateSeptember 3, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2024
✔ NPI 1114460375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2470 MALL DR UNIT BCD, North Charleston, SC 29406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina 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 of Waiver 42D2103742

Crossroads Treatment Center Of Charleston PC · N Charleston, SC
Active · expires Oct 19, 2027
CLIA Number42D2103742
Laboratory TypeMethadone Clinic
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorDr. James Stephen
Laboratory Phone(864) 964-7500
Laboratory LocationCrossroads Treatment Center Of Charleston PC2470 Mall Drive, Suite B, C, & D, N Charleston, SC 29406
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
568 services19 patients
Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for G2077
Periodic assessment is a routine check-up by trained professionals to determine the best mix of services and treatments for your health needs. This is typically provided by a Medicare-enrolled opioid treatment program. It's listed separately in addition to your main treatment code. This ensures you receive the most suitable care for your situation.
31 services18 patients

Other Providers at the Same Location NPPES

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

KHADEJIAH BROOKS
Counselor
2470 MALL DR UNIT BCD
NORTH CHARLESTON, SC 29406
Charleston County (800) 805-6989

Frequently 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 Treatment Center Of Charleston, PC's NPI number?

The NPI number for Crossroads Treatment Center Of Charleston, PC is 1114460375. It was assigned to this organization in the NPPES registry on November 21, 2016.

Where is Crossroads Treatment Center Of Charleston, PC located?

Crossroads Treatment Center Of Charleston, PC is located at 2470 Mall Dr Unit Bcd, North Charleston, SC 29406. The listed phone number is (843) 207-4721.

What is Crossroads Treatment Center Of Charleston, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Crossroads Treatment Center Of Charleston, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2103742) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Crossroads Treatment Center Of Charleston, PC accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Crossroads Treatment Center Of Charleston, PC 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 Treatment Center Of Charleston, PC was last updated on September 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.