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CROSSROADS TREATMENT CENTER OF LOUISVILLE
NPI 1649797507
Clinic/Center - Methadone in Jeffersontown, KY

Active since August 23, 2017CLIA 18D2130877 · Waiver
1700 CARGO CT, JEFFERSONTOWN, KY 40299(502) 749-6764(502) 749-6843 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 12, 2024, Jun 8, 2022, Nov 19, 2021 and 3 more (6 updates tracked since 2017).

About Crossroads Treatment Center Of Louisville NPPES

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

CROSSROADS TREATMENT CENTER OF LOUISVILLE (NPI 1649797507) is a healthcare organization registered as a methadone in Jeffersontown, Kentucky and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Rupert Mccormac, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1649797507
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameCROSSROADS TREATMENT CENTER OF LOUISVILLE, PSC
Location Address1700 CARGO CTJeffersontown, KY 40299-1938
Mailing AddressPo Box 749057Atlanta, GA 30374-9057 · (800) 805-6989 · Fax (864) 558-8511
Phone(502) 749-6764
Fax(502) 749-6843
Organization SubpartNo
Authorized OfficialRupert MccormacChief Executive Officer · (800) 805-6989
Enumeration DateAugust 23, 2017
Last NPPES UpdateJuly 12, 20246 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1649797507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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 · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
1700 CARGO CT, Jeffersontown, KY 40299
Open in Google Maps ↗

Other Names 1

Doing Business AsCrossroads Treatment Center Of Louisville

Other Identifiers 1

Other810552KY · 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 18D2130877

Crossroads Treatment Center Of Louisville, Psc · Jeffersontown, KY
Active · expires May 17, 2027
CLIA Number18D2130877
Laboratory TypeMethadone Clinic
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorDr. James Stephen
Laboratory Phone(864) 964-7500
Laboratory LocationCrossroads Treatment Center Of Louisville, Psc1700 Cargo Court, Jeffersontown, KY 40299
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.
351 services13 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.
238 services16 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.

ELIZABETH RODRIGUEZ
Licensed Practical Nurse
1700 CARGO CT
LOUISVILLE, KY 40299
Jefferson County (502) 749-6764
MARYELLEN MCCARTHY
Specialist/Technologist, Pathology (Laboratory Management)
1700 CARGO CT
JEFFERSONTOWN, KY 40299
Jefferson County (877) 848-9810
MERCY ORTEGA
Counselor (Addiction (Substance Use Disorder))
1700 CARGO CT
LOUISVILLE, KY 40299
Jefferson County (800) 805-6989
ELIZABETH RENEE WILLIAMS LPN
Licensed Practical Nurse
1700 CARGO CT
JEFFERSONTOWN, KY 40299
Jefferson County (502) 749-6836
MISS CIARA CHANEL SWEATT TCADC
Counselor (Addiction (Substance Use Disorder))
1700 CARGO CT
LOUISVILLE, KY 40299
Jefferson County (502) 749-6764
SENGMANY D SAECHAO LPN
Licensed Practical Nurse
1700 CARGO CT
LOUISVILLE, KY 40299
Jefferson County (866) 850-6585
SHELBY PIRTLE
Counselor (Addiction (Substance Use Disorder))
1700 CARGO CT
LOUISVILLE, KY 40299
Jefferson County (866) 850-6585
MAIAH R. MILLER TCADC
Counselor (Addiction (Substance Use Disorder))
1700 CARGO CT
LOUISVILLE, KY 40299
Jefferson 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 Louisville, Psc's NPI number?

The NPI number for Crossroads Treatment Center Of Louisville, Psc is 1649797507. It was assigned to this organization in the NPPES registry on August 23, 2017. The provider is doing business as Crossroads Treatment Center Of Louisville.

Where is Crossroads Treatment Center Of Louisville, Psc located?

Crossroads Treatment Center Of Louisville, Psc is located at 1700 Cargo Ct, Jeffersontown, KY 40299. The listed phone number is (502) 749-6764.

What is Crossroads Treatment Center Of Louisville, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Crossroads Treatment Center Of Louisville, Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2130877) is associated with this NPI, valid through May 17, 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 Louisville, Psc was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.