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CROSSROADS TREATMENT CENTER OF SOMERSET
NPI 1417452798
Clinic/Center - Rehabilitation, Substance Use Disorder in Somerset, KY

Active since March 28, 2018CLIA 18D2138653 · Waiver
607 CLIFTY ST, SOMERSET, KY 42503(606) 485-4730(606) 485-4733 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 13, 2024, Jun 8, 2022, May 2, 2018 and 1 more (4 updates tracked since 2018).

About Crossroads Treatment Center Of Somerset NPPES

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

CROSSROADS TREATMENT CENTER OF SOMERSET (NPI 1417452798) is a healthcare organization registered as a rehabilitation, substance use disorder in Somerset, Kentucky and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through October 22, 2027 and lists Rupert Mccormac, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1417452798
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCROSSROADS TREATMENT CENTER OF SOMERSET, PSC
Location Address607 CLIFTY STSomerset, KY 42503-1765
Mailing AddressPo Box 749057Atlanta, GA 30374-9057 · (800) 805-6989 · Fax (864) 558-8411
Phone(606) 485-4730
Fax(606) 485-4733
Organization SubpartNo
Authorized OfficialRupert MccormacChief Executive Officer · (800) 805-6989
Enumeration DateMarch 28, 2018
Last NPPES UpdateAugust 13, 20244 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1417452798 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
607 CLIFTY ST, Somerset, KY 42503
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Other Names 1

Doing Business AsCrossroads Treatment Center Of Somerset

Other Identifiers 1

Other810587KY · 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 18D2138653

Crossroads Treatment Center Of Somerset, Psc · Somerset, KY
Active · expires Oct 22, 2027
CLIA Number18D2138653
Laboratory TypeMethadone Clinic
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. James Stephen
Laboratory Phone(864) 964-7500
Laboratory LocationCrossroads Treatment Center Of Somerset, Psc607 Clifty St, Somerset, KY 42503
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 3

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.
405 services16 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.
297 services22 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.
23 services15 patients

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.

LIFESCAN IMAGING, LLC
Clinic/Center (Radiology)
607 CLIFTY ST, STE 102
SOMERSET, KY 42503
Pulaski County (606) 677-6664
DAVID A. WEBER, MD, PLLC
Anesthesiology (Pain Medicine)
607 CLIFTY ST
SOMERSET, KY 42503
Pulaski County (606) 676-0206
DR. ARTHUR F SCHULTZ MD
Specialist
607 CLIFTY ST, STE 102
SOMERSET, KY 42503
Pulaski County (606) 677-6664
DAVID A WEBER MD PLLC NP
Nurse Practitioner (Adult Health)
607 CLIFTY ST
SOMERSET, KY 42503
Pulaski County (606) 676-0206
PHYSICIAN SERVICES PSC
Durable Medical Equipment & Medical Supplies
607 CLIFTY ST
SOMERSET, KY 42503
Pulaski County (606) 676-0088
TERRI STEGE
Registered Nurse
607 CLIFTY ST
SOMERSET, KY 42503
Pulaski County (606) 485-4730
JUDY BLACK
Registered Nurse
607 CLIFTY ST
SOMERSET, KY 42503
Pulaski County (606) 485-4733
MRS. HEATHER SUSANNE BISHOP
Licensed Practical Nurse
607 CLIFTY ST
SOMERSET, KY 42503
Pulaski County (606) 485-4730

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 Somerset, Psc's NPI number?

The NPI number for Crossroads Treatment Center Of Somerset, Psc is 1417452798. It was assigned to this organization in the NPPES registry on March 28, 2018. The provider is doing business as Crossroads Treatment Center Of Somerset.

Where is Crossroads Treatment Center Of Somerset, Psc located?

Crossroads Treatment Center Of Somerset, Psc is located at 607 Clifty St, Somerset, KY 42503. The listed phone number is (606) 485-4730.

What is Crossroads Treatment Center Of Somerset, Psc'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 Somerset, Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2138653) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crossroads Treatment Center Of Somerset, Psc was last updated on August 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.