CROSSROADS TREATMENT CENTER OF NORTHERN KENTUCKY; CROSSROADS TREATMENT
NPI 1174040034
Clinic/Center - Rehabilitation, Substance Use Disorder in Independence, KY

Q: What is Crossroads Treatment Center Of Northern Kentucky, Psc's specialty?

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

Active since August 23, 2017CLIA 18D2126207 · Waiver

1974 WALTON NICHOLSON PIKE, INDEPENDENCE, KY 41051(859) 359-5404(859) 359-0739 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2024, Jun 8, 2022, May 2, 2018 and 1 more (4 updates tracked since 2017).

On this page

About Crossroads Treatment Center Of Northern Kentucky; Crossroads Treatment NPPES

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

CROSSROADS TREATMENT CENTER OF NORTHERN KENTUCKY; CROSSROADS TREATMENT (NPI 1174040034) is a healthcare organization registered as a rehabilitation, substance use disorder in Independence, Kentucky and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Rupert Mccormac, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174040034

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCROSSROADS TREATMENT CENTER OF NORTHERN KENTUCKY, PSC

Location Address1974 WALTON NICHOLSON PIKEIndependence, KY 41051-7906

Mailing AddressPo Box 749057Atlanta, GA 30374-9057 · (800) 805-6989 · Fax (864) 558-8511

Phone(859) 359-5404

Fax(859) 359-0739

Organization SubpartNo

Authorized OfficialRupert MccormacChief Executive Officer · (800) 805-6989

Enumeration DateAugust 23, 2017

Last NPPES UpdateNovember 8, 20244 updates tracked since enumeration

NPPES CertifiedNovember 8, 2024

✔ NPI 1174040034 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

1974 WALTON NICHOLSON PIKE, Independence, KY 41051

Open in Google Maps ↗

Other Names 1

Doing Business AsCrossroads Treatment Center Of Northern Kentucky; Crossroads Treatment

Other Identifiers 1

Other810538KY · State License

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 18D2126207

Crossroads Treatment Center Of Northern Kentucky, Psc · Independence, KY

Active · expires Feb 21, 2027

CLIA Number18D2126207

Laboratory TypeMethadone Clinic

Certificate Effective DateFebruary 22, 2025

Certificate Expiration DateFebruary 21, 2027

Laboratory DirectorDr. James Stephen

Laboratory Phone(864) 964-7500

Laboratory LocationCrossroads Treatment Center Of Northern Kentucky, Psc1974 Walton Nicholson Pike, Independence, KY 41051

CLIA data matches this NPI record on: Address 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.

Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078

This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.

368 services14 patients

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.

240 services16 patients

Leave this field empty

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.

SAMANTHA M WEST

Counselor (Addiction (Substance Use Disorder))