| Crossroads Services Board | |
|
60 Bush River Drive Farmville VA 23901 | |
| (434) 392-7049 | |
| (434) 392-9221 |
| Full Name | Crossroads Services Board |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 60 Bush River Drive, Farmville, Virginia |
| Authorized Official Name and Position | Michelle Foore (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 4343927049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Services Board P.o. Drawer 248 Farmville VA 23901 Ph: (434) 392-7049 | Crossroads Services Board 60 Bush River Drive Farmville VA 23901 Ph: (434) 392-7049 |
| NPI Number | 1528091063 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Medicare PECOS PAC ID | 4486649977 |
|---|---|
| Medicare Enrollment ID | O20040415000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528091063 | NPI | - | NPPES |
| 004945450 | Medicaid | VA |
| Provider Name | Steven B Eisenstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811905466 PECOS PAC ID: 9537185640 Enrollment ID: I20051018001033 |
| Provider Name | Nadeem Ahmed |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508003484 PECOS PAC ID: 3678639077 Enrollment ID: I20090310000637 |
| Provider Name | Norman B Holden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326047606 PECOS PAC ID: 9537283098 Enrollment ID: I20100907000054 |
| Provider Name | Cheri L Kindler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578562880 PECOS PAC ID: 4385833078 Enrollment ID: I20110111000901 |
| Provider Name | Michele D Ebright |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932650009 PECOS PAC ID: 0749564946 Enrollment ID: I20170308000513 |
| Provider Name | Christopher C Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588847917 PECOS PAC ID: 0244497873 Enrollment ID: I20171025002547 |
| Provider Name | Ren A Thorne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063679892 PECOS PAC ID: 9931468402 Enrollment ID: I20180109002986 |
| Provider Name | Jennifer Pittman-dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497254320 PECOS PAC ID: 5395090484 Enrollment ID: I20180613001569 |
| Provider Name | Antony Fernandez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962452862 PECOS PAC ID: 8921013947 Enrollment ID: I20190809002919 |
| Provider Name | Thrishanna Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356810360 PECOS PAC ID: 8426396375 Enrollment ID: I20190813001684 |
| Provider Name | Nicole Yvette Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114588407 PECOS PAC ID: 4880924315 Enrollment ID: I20190926001861 |
| Provider Name | Felicia Aboagye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003450412 PECOS PAC ID: 8628479128 Enrollment ID: I20210622000463 |
| Provider Name | Amanda L Thenor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609223783 PECOS PAC ID: 8224425426 Enrollment ID: I20220418000996 |
| Provider Name | Michelle D Huston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700552783 PECOS PAC ID: 8527444629 Enrollment ID: I20220927001836 |
| Provider Name | Sherry Lucke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922592732 PECOS PAC ID: 8820346208 Enrollment ID: I20230228000501 |
| Provider Name | Pamela Shipp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023709078 PECOS PAC ID: 3678934767 Enrollment ID: I20230807000111 |
| Provider Name | Chioma Onyenakazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265181150 PECOS PAC ID: 7517328586 Enrollment ID: I20230807003915 |
| Provider Name | Jennifer Y Garner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093098956 PECOS PAC ID: 7012182074 Enrollment ID: I20230918001110 |
| Provider Name | Corletha Norman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871897454 PECOS PAC ID: 2264790179 Enrollment ID: I20231026001268 |
| Provider Name | Richard A Chassey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376196394 PECOS PAC ID: 2961853270 Enrollment ID: I20240111001786 |
| Provider Name | Melissa A Pelletier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013656727 PECOS PAC ID: 7315398476 Enrollment ID: I20240112002629 |
| Provider Name | Lateshia A Gilliam |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841968708 PECOS PAC ID: 5193177053 Enrollment ID: I20240117001222 |
| Provider Name | Rian F Neuberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346729001 PECOS PAC ID: 9537511316 Enrollment ID: I20240117002009 |
| Provider Name | Sherry S Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992277529 PECOS PAC ID: 6406208248 Enrollment ID: I20240117003920 |
| Provider Name | Sabrina M Boyd |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245840693 PECOS PAC ID: 7113379652 Enrollment ID: I20240119002042 |
| Provider Name | Kyle D Vaught |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457508798 PECOS PAC ID: 4880038686 Enrollment ID: I20240220004310 |
| Provider Name | Cyntina J Bagley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902194418 PECOS PAC ID: 2961846779 Enrollment ID: I20240220004372 |
| Provider Name | George L Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548793029 PECOS PAC ID: 8729017306 Enrollment ID: I20240220004422 |
| Provider Name | Chelsea Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609412006 PECOS PAC ID: 0244674968 Enrollment ID: I20240221000348 |
| Provider Name | Hans P Paulsen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003353343 PECOS PAC ID: 1355786302 Enrollment ID: I20240229000576 |
| Provider Name | Elizabeth C Chassey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427826346 PECOS PAC ID: 9739527557 Enrollment ID: I20240329000339 |
Forever Endeavor Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Mill St Ste 100, Farmville, VA 23901 Phone: 434-315-0000 Fax: 434-315-8759 | |
Piedmont Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200b Milnwood Rd, Farmville, VA 23901 Phone: 434-315-8813 Fax: 434-315-5913 | |
Kingsville Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 N Main St, Farmville, VA 23901 Phone: 434-395-1079 | |
Family Presrvation Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1603 Zion Hill Road, Farmville, VA 23901 Phone: 434-392-3328 Fax: 434-395-1200 | |
Anchor Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2720 Layne Street Ext, Farmville, VA 23901 Phone: 180-443-9367 Fax: 434-392-6385 | |
Inner Strength Psychotherapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Sunchase Blvd Apt E, Farmville, VA 23901 Phone: 859-866-9050 | |
Family Preservation Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 405d E 3rd St, Farmville, VA 23901 Phone: 434-392-3328 Fax: 434-392-3235 |