MEDICARE: CROSSCARE INSTITUE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1366312803
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSSCARE INSTITUE LLC

Provider Business Mailing Address
First Line	:	3520 PEYTON CIR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-2218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3520 PEYTON CIR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73034-2218
Country	:	US
Telephone Number	:	405-554-3896
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	CARRIE CUTSHALL
Credential	:	M.S, M.ED., LPC
Telephone Number	:	405-554-3876

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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