Individual provider Active NPI

Rebecca Cruit, LMHC

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1073972394
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16926 Issued in FL
Practice address
4703 NW 53Rd Ave Ste A2
Gainesville, FL 32653
Phone
(352) 332-6131
Fax
(352) 332-6263
NPI assigned
Feb 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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 MH16926 FL Primary

Addresses

Primary practice location

4703 NW 53Rd Ave Ste A2
Gainesville, FL 32653

Mailing address

4703 NW 53Rd Ave Ste A2
Gainesville, FL 32653-3403
Phone (352) 332-6131

Other practice location 1

4703 NW 53rd Ave Ste A2
Gainesville, FL 32653
Phone (352) 332-6131

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

LicenseStateTypeSpecialty
MH16926FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1073972394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4703 NW 53RD AVE STE A2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533403",
            "telephone_number": "352-332-6131",
            "fax_number": "352-332-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4703 NW 53RD AVE STE A2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32653",
            "telephone_number": "352-332-6131",
            "fax_number": "352-332-6263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4703 NW 53rd Ave Ste A2",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32653",
            "country_code": "US",
            "telephone_number": "352-332-6131",
            "fax_number": "352-332-6263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUIT",
        "first_name": "REBECCA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.