Individual provider Active NPI

Julia Cruzen PLLC, LMHC

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1013220318
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60151067 Issued in WA
Practice address
8390 W Gage Blvd Ste 210
Kennewick, WA 99336-8105
Phone
(509) 987-1712
Fax
(509) 987-1715
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60151067 WA Primary

Addresses

Primary practice location

8390 W Gage Blvd Ste 210
Kennewick, WA 99336-8105

Mailing address

8390 W Gage Blvd Ste 210
Kennewick, WA 99336-8105
Phone (509) 987-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20240507003687 WA Practitioner - Mental Health Counselor 3971943192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8390 W Gage Blvd
Suite 210
Kennewick, WA 99336-8105
Phone (509) 987-1712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH 60151067WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julia Cruzen PLLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

8390 W Gage Blvd
Ste 210
Kennewick, WA 99336
Phone (509) 987-1712

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1013220318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W GAGE BLVD STE 210",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368105",
            "telephone_number": "509-987-1712",
            "fax_number": "509-987-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W GAGE BLVD STE 210",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368105",
            "telephone_number": "509-987-1712",
            "fax_number": "509-987-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZEN PLLC",
        "first_name": "JULIA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60151067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.