Active NPI
Victoria Cruz, LMHC
- Mental Health Counselor
- Grafton, MA
National Provider Identifier
1073020533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11819-MH-CC
- Practice address
- 2 South St
Grafton, MA 01519-1103 - Phone
- (774) 512-0109
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 11819-MH-CC | MA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
2 South St
Grafton, MA 01519-1103
Mailing address
PO Box 1021
Westborough, MA 01581-6021
Phone (774) 512-0109
Other practice location 1
176 West St
Milford, MA 01757-2236
Phone (508) 529-7000 ext. 6355
Other practice location 2
586 Main St
Shrewsbury, MA 01545-2920
Phone (774) 512-0109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-3097170 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11819-MH-CC | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1073020533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1021",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015816021",
"telephone_number": "774-512-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 SOUTH ST",
"city": "GRAFTON",
"state": "MA",
"postal_code": "015191103",
"telephone_number": "774-512-0109"
}
],
"practiceLocations": [
{
"address_1": "176 West St",
"address_purpose": "LOCATION",
"city": "Milford",
"state": "MA",
"postal_code": "017572236",
"country_code": "US",
"telephone_number": "508-529-7000 x6355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "586 Main St",
"address_purpose": "LOCATION",
"city": "Shrewsbury",
"state": "MA",
"postal_code": "015452920",
"country_code": "US",
"telephone_number": "774-512-0109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "VICTORIA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "11819-MH-CC",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04-3097170",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grafton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.