Yelitza Noemi Cruz-Cubano, MA LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2021034465

Practice address

1000 Mid Rivers Mall Dr Ste B5
Saint Peters, MO 63376-2171

Phone

(636) 395-0465

Fax

(636) 226-0875

NPI assigned

Aug 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Guiding Light Counseling LLC

  • Mental Health Counselor
  • Saint Peters, MO
  • NPI 1346005014

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1630108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1124795950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MID RIVERS MALL DR STE B5",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762171",
            "telephone_number": "636-395-0465",
            "fax_number": "636-226-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MID RIVERS MALL DR STE B5",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762171",
            "telephone_number": "636-395-0465",
            "fax_number": "636-226-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-CUBANO",
        "first_name": "YELITZA",
        "middle_name": "NOEMI",
        "name_prefix": "Ms.",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-28",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "2021034465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Mid Rivers Mall Dr Ste B5",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633762171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tarah Ann Crews, DMD
• Courtney Champagne Crider, M.D.
• Michael Joseph Critcheloe
• Lauri A Cross-Fink, MED, LPC, NCC
• Julia E Crutchfield-Keeven, MHS
• Cu Smile, LLC
• Kevin Phillip Cude
• Michael J Cuipa, MD
• Misty Lynn Culp, MHA,OTR/L, CHT
• Antionette Cummings

• Mental Health Counselor in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.