Raven Cruz-Humberto

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

104 Lock and Dam Rd
Russellville, AR 72802-9725

Phone

(479) 747-5222

NPI assigned

Apr 8, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

River Valley Youth FoundationGroup PAC ID 3476990201, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• River Valley Youth Foundation

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1770261869
  Medicare reassignment Care Compare group NPD
• Adult and Teen Challenge of Arkansas Inc

  • Substance Abuse Rehabilitation Facility
  • Hot Springs Village, AR
  • NPI 1245952514
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1003445214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015322",
            "telephone_number": "479-222-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 LOCK AND DAM RD",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728029725",
            "telephone_number": "479-747-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 E Main St",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728015322",
            "country_code": "US",
            "telephone_number": "479-222-1965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ-HUMBERTO",
        "first_name": "RAVEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Kimes Croom, CASE MANAGER PARAPRO
• Crossroads Senior Care at Home, Inc.
• James Roy Crouch Jr., MD
• Morgan Deanne Crowder, PT
• Aaron Croy, LPC
• Jonathan Curlin, DDS
• Breanna Curtis
• Richard Cutler, M.S. CFY-SLP
• Cynthia R. Hines, M.D., P.a.
• Hannah D'Amato

• Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.