CROSSROADS COUNCELING SERVICES LLC
NPI 1881010288
Counselor in Jacksonville, NC

Active since March 10, 2014
99 VILLAGE DR, SUITE 18-4, JACKSONVILLE, NC 28546(919) 225-9315 Get Directions Write a Review

NPPES record last updated: March 10, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor

About CROSSROADS COUNCELING SERVICES LLC

This page provides the complete NPI Profile along with additional information for Crossroads Counceling Services Llc, a provider established in Jacksonville, North Carolina operating as a Counselor. The healthcare provider is registered in the NPI registry with number 1881010288 assigned on March 2014. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Crossroads Counceling Services Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Dejuan J. Lundy Phd, Lpc, Lcas-a (Executive Director)

NPI
1881010288 Verify this NPI
Provider Name
CROSSROADS COUNCELING SERVICES LLC
Entity Type
Organization
Location Address
99 VILLAGE DR SUITE 18-4 JACKSONVILLE, NC 28546
Location Phone
(919) 225-9315
Mailing Address
99 VILLAGE DR SUITE 18-4 JACKSONVILLE, NC 28546
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-10-2014
Last Update Date
03-10-2014
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

 
2101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
3101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

 
4103T00000XBehavioral Health & Social Service Providers

Psychologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DEJUAN J. LUNDY PHD, LPC, LCAS-A

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(919) 225-9315

Reviews for CROSSROADS COUNCELING SERVICES LLC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Acupuncturist
99 VILLAGE DR, SUITE 16
JACKSONVILLE, NC 28546
Massage Therapist
99 VILLAGE DR, SUITE 14
JACKSONVILLE, NC 28546
Acupuncturist
99 VILLAGE DR, SUITE 16
JACKSONVILLE, NC 28546
Counselor
99 VILLAGE DR, SUITE 18-4
JACKSONVILLE, NC 28546
Specialist
99 VILLAGE DR, SUITE 10
JACKSONVILLE, NC 28546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881010288, enumerated as an "organization" on March 10, 2014.

The provider is located at 99 VILLAGE DR SUITE 18-4 JACKSONVILLE, NC 28546 and the phone number is (919) 225-9315.

Counselor with taxonomy code 101Y00000X.