CROSSROADS TREATMENT CENTER, INC.
NPI 1417397951
Counselor - Addiction (Substance Use Disorder) in Lakewood, WA

Q: What is Crossroads Treatment Center, Inc.'s NPI number?

The NPI number for Crossroads Treatment Center, Inc. is 1417397951. It was assigned to this organization in the NPPES registry on June 28, 2013.

Q: What is Crossroads Treatment Center, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since June 28, 2013

10828 GRAVELLY LAKE DR SW STE 204, LAKEWOOD, WA 98499(253) 473-7474(253) 474-9724 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Crossroads Treatment Center, Inc. NPPES

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

CROSSROADS TREATMENT CENTER, INC. (NPI 1417397951) is a healthcare organization registered as an addiction (substance use disorder) in Lakewood, Washington and active in the NPI registry since June 2013. The organization lists Kelley Nelson Whitty-sandaker, Cdpt Intern, as its authorized official.

NPPES Registry Identity

NPI1417397951

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameCROSSROADS TREATMENT CENTER, INC.

Location Address10828 GRAVELLY LAKE DR SW STE 204Lakewood, WA 98499-1346

Mailing Address10828 Gravelly Lake Dr Sw Ste 204Lakewood, WA 98499-1346 · (253) 473-7474 · Fax (253) 474-9724

Phone(253) 473-7474

Fax(253) 474-9724

Organization SubpartNo

Authorized OfficialKelley Nelson Whitty-sandakerCdpt Intern · (850) 218-0752

Enumeration DateJune 28, 2013

✔ NPI 1417397951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CO60367121

10828 GRAVELLY LAKE DR SW STE 204, Lakewood, WA 98499

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

MR. FRANK DICOSTANZO MSW

Social Worker

10828 GRAVELLY LAKE DR SW STE 204
LAKEWOOD, WA 98499

Pierce County (153) 473-7474

RHONDA SUE WATKINS CDP

Counselor (Addiction (Substance Use Disorder))

10828 GRAVELLY LAKE DR SW STE 204
LAKEWOOD, WA 98499

Pierce County (253) 473-7474

MS. JAIMIE ALICE STEWART BA,CDP

Counselor (Addiction (Substance Use Disorder))

10828 GRAVELLY LAKE DR SW STE 204
LAKEWOOD, WA 98499

Pierce County (253) 473-7474

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, Inc.'s NPI number?

The NPI number for Crossroads Treatment Center, Inc. is 1417397951. It was assigned to this organization in the NPPES registry on June 28, 2013.

Where is Crossroads Treatment Center, Inc. located?

Crossroads Treatment Center, Inc. is located at 10828 Gravelly Lake Dr SW Ste 204, Lakewood, WA 98499. The listed phone number is (253) 473-7474.

What is Crossroads Treatment Center, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Crossroads Treatment Center, Inc. was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.