CROSSROADS OF SOUTHERN NEVADA
NPI 1558864439
Community/Behavioral Health in Las Vegas, NV

Q: What is Charleston Residential Services LLC's NPI number?

The NPI number for Charleston Residential Services LLC is 1558864439. It was assigned to this organization in the NPPES registry on March 16, 2018. The provider is doing business as Crossroads Of Southern Nevada.

Q: What is Charleston Residential Services LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 16, 2018CLIA 29D2160079 · Waiver

2121 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 382-7746 Get Directions Write a Review

NPPES record last updated: March 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Crossroads Of Southern Nevada NPPES

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

CROSSROADS OF SOUTHERN NEVADA (NPI 1558864439) is a healthcare organization registered as a community/behavioral health in Las Vegas, Nevada and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through January 2, 2027 and lists Jennifer Lynn Morss, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1558864439

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameCHARLESTON RESIDENTIAL SERVICES LLC

Location Address2121 W CHARLESTON BLVDLas Vegas, NV 89102-2205

Mailing Address2121 W Charleston BlvdLas Vegas, NV 89102-2205 · (702) 382-7746

Phone(702) 382-7746

Organization SubpartNo

Authorized OfficialJennifer Lynn MorssChief Operating Officer · (702) 332-3228

Enumeration DateMarch 16, 2018

✔ NPI 1558864439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

2121 W CHARLESTON BLVD, Las Vegas, NV 89102

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Other Names 1

Doing Business AsCrossroads Of Southern Nevada

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 29D2160079

Crossroads Of Southern Nevada · Las Vegas, NV

Active · expires Jan 2, 2027

CLIA Number29D2160079

Laboratory TypeMedical Detox

Certificate Effective DateJanuary 3, 2025

Certificate Expiration DateJanuary 2, 2027

Laboratory DirectorCharles Mcswain

Laboratory Phone(702) 919-5390

Laboratory LocationCrossroads Of Southern Nevada2121 W Charleston Blvd, Las Vegas, NV 89102

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only 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.

ROBERT SOUCY LPC, LCPC, LPCC

Counselor (Mental Health)