Individual provider Active NPI

Cristina Alexandra Cruz-Thompson, MS

  • Mental Health Counselor
  • Milford, MA
National Provider Identifier
1205354701
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
176 West St
Milford, MA 01757-2236
Phone
(508) 529-7000
NPI assigned
Sep 5, 2017
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Counseling Psychologist 103TC1900X NU

Addresses

Primary practice location

176 West St
Milford, MA 01757-2236

Mailing address

176 West St
Milford, MA 01757-2236
Phone (508) 529-7000

Other identifiers 1

IdentifierTypeStateIssuer
1205354701MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Cristy91 Riverside Community Care

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Wayside Youth and Family Support Network Mental Health PastSince Jul 1, 2022 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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1205354701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572236",
            "telephone_number": "508-529-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 WEST ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017572236",
            "telephone_number": "508-529-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-THOMPSON",
        "first_name": "CRISTINA",
        "middle_name": "ALEXANDRA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-09-07",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205354701",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Cristy91",
            "affiliation": "Y",
            "endpointDescription": "NPI",
            "affiliationName": "Riverside Community Care",
            "address_1": "176 West St",
            "city": "Milford",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017572236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.