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CROSSROADS CHRISTIAN CENTER
NPI 1912242819
Community/Behavioral Health in Spring Park, MN

Active since December 03, 2012
4165 SHORELINE DR, SUITE 15, SPRING PARK, MN 55384(612) 747-7224 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossroads Christian Center NPPES

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

CROSSROADS CHRISTIAN CENTER (NPI 1912242819) is a healthcare organization registered as a community/behavioral health in Spring Park, Minnesota and active in the NPI registry since December 2012. The organization lists Debra Karen Kullberg, Licensed Marriage/ Family Therapist, as its authorized official.

NPPES Registry Identity

NPI1912242819
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCROSSROADS CHRISTIAN CENTER
Location Address4165 SHORELINE DR, SUITE 15Spring Park, MN 55384-9659
Mailing Address4165 Shoreline Dr, Suite 15Spring Park, MN 55384-9659 · (612) 747-7224
Phone(612) 747-7224
Organization SubpartNo
Authorized OfficialDebra Karen KullbergLicensed Marriage/ Family Therapist · (612) 747-7224
Enumeration DateDecember 3, 2012
✔ NPI 1912242819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in MN · 1886
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.
4165 SHORELINE DR, Spring Park, MN 55384
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Other Providers at the Same Location NPPES 2

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

CHANGEMAKER, INC.
Massage Therapist
4165 SHORELINE DR, #50
SPRING PARK, MN 55384
Hennepin County (763) 427-0212
DR. CRAIG J BRANDENBURG D.D.S.
Dentist (General Practice)
4165 SHORELINE DR, SUITE 30
SPRING PARK, MN 55384
Hennepin County (952) 471-0047

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 Christian Center's NPI number?

The NPI number for Crossroads Christian Center is 1912242819. It was assigned to this organization in the NPPES registry on December 3, 2012.

Where is Crossroads Christian Center located?

Crossroads Christian Center is located at 4165 Shoreline Dr Suite 15, Spring Park, MN 55384. The listed phone number is (612) 747-7224.

What is Crossroads Christian Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Crossroads Christian Center was last updated on December 3, 2012. 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.