Active NPI
Vanessa Cruz
- Counselor
- Cartersville, GA
National Provider Identifier
1144695859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.011390
- Practice address
- 21 Wexford Cir NW
Cartersville, GA 30121-4761 - Phone
- (773) 575-2702
- NPI assigned
- Dec 7, 2015
- Last updated
- Jun 7, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.011390 | IL | Primary |
Addresses
Primary practice location
21 Wexford Cir NW
Cartersville, GA 30121-4761
Mailing address
21 Wexford Cir NW
Cartersville, GA 30121-4761
Phone (773) 575-2702
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 |
|---|---|---|---|
| 178.011390 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy Counseling | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1144695859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WEXFORD CIR NW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301214761",
"telephone_number": "773-575-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WEXFORD CIR NW",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301214761",
"telephone_number": "773-575-2702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-07",
"last_updated": "2021-06-07",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.011390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.