NPIMap

Organization Active NPI

On Wings Like Eagles, LLC

  • Community/Behavioral Health Agency
  • Las Cruces, NM
National Provider Identifier
1073835963
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
03-130243-00-2 Issued in NM
Legal business name
ON WINGS LIKE EAGLES, LLC
Practice address
1435 Pecos St
Las Cruces, NM 88001-4335
Phone
(575) 522-1422
Fax
(575) 532-5175
NPI assigned
Feb 19, 2010
Last updated
Feb 19, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Mr. Edward Gene Kruis, LPCC, LADACNPI 1548279409
Title
Owner/Provider
Phone
(575) 650-0071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 03-130243-00-2 NM Primary

Addresses

Primary practice location

1435 Pecos St
Las Cruces, NM 88001-4335

Mailing address

1801 Las Tunas Dr
Las Cruces, NM 88011-4956
Phone (575) 522-1422

National Provider Directory

National Provider Directory
Tax ID family
Edward G Kruis LPCC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1435 Pecos St
Las Cruces, NM 88001
Phone (575) 522-1422

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1073835963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LAS TUNAS DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114956",
            "telephone_number": "575-522-1422",
            "fax_number": "575-532-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 PECOS ST",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880014335",
            "telephone_number": "575-522-1422",
            "fax_number": "575-532-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON WINGS LIKE EAGLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "KRUIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "575-650-0071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC, LADAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NM",
            "license": "03-130243-00-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.