Kimberly Lintner Cruise, LMHC, BCABA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 10245 Issued in FL

Practice address

2317 Blanding Blvd
Ste 102
Jacksonville, FL 32210

Phone

(904) 476-8956

Fax

(904) 387-8950

NPI assigned

Dec 7, 2009

Last updated

Sep 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• First Coast Behavior Solutions, LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1720326382
  NPD (past) Authorized official

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1013245893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 BLANDING BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322104167",
            "telephone_number": "904-200-7979",
            "fax_number": "904-387-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 BLANDING BLVD",
            "address_2": "STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-476-8956",
            "fax_number": "904-387-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUISE",
        "first_name": "KIMBERLY",
        "middle_name": "LINTNER",
        "name_prefix": "Ms.",
        "credential": "LMHC, BCABA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10245",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "0041234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Crozier, MD
• Ovidiu Cruceru
• Crucialist Arizona LLC
• Crucialist LLC
• Tori Michelle Cruikshank, APRN
• Angela Lynn Crum, ARNP
• Edward Jason Crum, HEALTH SERVICE TECH.
• Ekeshia Crum
• Paul M Crum Jr., MD
• Deborah Jean Crumb, PHARM.D.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.