Crossroads Counseling Center - Medicare Mental Health Clinic in Janesville, WI

Crossroads Counseling Center is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Janesville, Wisconsin. The current practice location for Crossroads Counseling Center is 17 S. River St., Suite 254, Janesville, Wisconsin. For appointments, you can reach them via phone at (608) 755-5260. The mailing address for Crossroads Counseling Center is 17 S. River St, Suite 254, Janesville, Wisconsin and phone number is (608) 755-5260.

Crossroads Counseling Center is licensed to practice in Wisconsin (license number 1265). The clinic also participates in the medicare program and its NPI number is 1265450753. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (608) 755-5260.

Contact Information

Crossroads Counseling Center
17 S. River St.
Suite 254
Janesville
WI 53548-3863
(608) 755-5260
(608) 755-5267

Map and Direction


Mental Health Clinic Profile

Full NameCrossroads Counseling Center
SpecialityClinic/Center
Location17 S. River St., Janesville, Wisconsin
Authorized Official Name and PositionTimothy F. Perry (ADMINISTRATOR)
Authorized Official Contact6087555260
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crossroads Counseling Center
17 S. River St
Suite 254
Janesville
WI 53548-3863

Ph: (608) 755-5260
Crossroads Counseling Center
17 S. River St.
Suite 254
Janesville
WI 53548-3863

Ph: (608) 755-5260

NPI Details:

NPI Number1265450753
Provider Enumeration Date07/17/2006
Last Update Date12/11/2014

Medicare PECOS Information:

Medicare PECOS PAC ID6800115676
Medicare Enrollment IDO20150428001780

Medical Identifiers

Medical identifiers for Crossroads Counseling Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265450753NPI-NPPES
42105900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) 1265 (Wisconsin)Primary
261QM0855XClinic/center - Adolescent And Children Mental Health 1265 (Wisconsin)Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health 2868 (Wisconsin)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crossroads Counseling Center acts as a billing entity for following providers:
Provider NameNancy Briggs
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124050547
PECOS PAC ID: 9537198874
Enrollment ID: I20050808000590
Provider NameSamkhann Mak
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1750307815
PECOS PAC ID: 6507876075
Enrollment ID: I20060427000536
Provider NameAtit R Desai
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801845672
PECOS PAC ID: 6103982905
Enrollment ID: I20090303000394
Provider NameTimothy F Perry
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932137791
PECOS PAC ID: 8820033830
Enrollment ID: I20110216001190
Provider NameGeorgien Dudzek
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1396167177
PECOS PAC ID: 6103120365
Enrollment ID: I20160624000103
Provider NameRachel M Dunn
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1396179107
PECOS PAC ID: 8325436827
Enrollment ID: I20211103000902
Provider NameMatthew R Garvoille
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922401918
PECOS PAC ID: 1850781832
Enrollment ID: I20211206002664
Provider NameAshlee R Stener
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386027779
PECOS PAC ID: 9537550041
Enrollment ID: I20211216002123
Provider NameEric Benjamin Bauman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891445128
PECOS PAC ID: 7214324631
Enrollment ID: I20220503001188
Provider NameJennifer E Leneau
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1326615337
PECOS PAC ID: 9638515380
Enrollment ID: I20240315002729
Provider NameAlisa L Thompson
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1740574037
PECOS PAC ID: 4385082668
Enrollment ID: I20240405000128
Provider NameJulie A Fouts
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255363487
PECOS PAC ID: 8022457910
Enrollment ID: I20240411001482

Reviews and Comments

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Practice Location: 17 S River St, Janesville, WI 53548
Phone: 608-755-5260    Fax: 608-755-5267
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Phone: 608-756-9090    Fax: 608-756-2920

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.