| Crossroads Behavioral Health Services | |
|
1003 Cottonwood Rd Creston IA 50801 | |
| (641) 782-8457 | |
| (641) 782-7048 |
| Full Name | Crossroads Behavioral Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 1003 Cottonwood Rd, Creston, Iowa |
| Authorized Official Name and Position | Peter L Brantner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6417828457 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Behavioral Health Services 1003 Cottonwood Rd Creston IA 50801 Ph: (641) 782-8457 | Crossroads Behavioral Health Services 1003 Cottonwood Rd Creston IA 50801 Ph: (641) 782-8457 |
| NPI Number | 1578531877 |
|---|---|
| Provider Enumeration Date | 03/10/2006 |
| Last Update Date | 12/12/2014 |
| Medicare PECOS PAC ID | 7113817933 |
|---|---|
| Medicare Enrollment ID | O20040316001449 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578531877 | NPI | - | NPPES |
| 0123984 | Medicaid | IA |
| Provider Name | Lawrence E Hejtmanek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760411060 PECOS PAC ID: 9335164540 Enrollment ID: I20101123000559 |
| Provider Name | Megan L Patrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871926766 PECOS PAC ID: 2668607219 Enrollment ID: I20131106001723 |
| Provider Name | Kimberly D Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558564138 PECOS PAC ID: 0042310146 Enrollment ID: I20150819006971 |
| Provider Name | Douglas J Detrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790061430 PECOS PAC ID: 1153631650 Enrollment ID: I20151113000079 |
| Provider Name | Sandra A Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609451632 PECOS PAC ID: 4880002260 Enrollment ID: I20210423001735 |
| Provider Name | Joshua John Krueger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407470487 PECOS PAC ID: 8921479460 Enrollment ID: I20230120001635 |
| Provider Name | Amber Fruetel Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497351357 PECOS PAC ID: 4183082316 Enrollment ID: I20230621001452 |
| Provider Name | Hannah Terese Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457869596 PECOS PAC ID: 8820446099 Enrollment ID: I20231128003220 |
| Provider Name | Mick Gene Collias |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003397068 PECOS PAC ID: 2163871245 Enrollment ID: I20231214002263 |
| Provider Name | Susan Renee Tridle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285301176 PECOS PAC ID: 2961851852 Enrollment ID: I20231218003568 |
| Provider Name | Joseph Breshears |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215426127 PECOS PAC ID: 9335599802 Enrollment ID: I20231223000343 |
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