Individual provider Active NPI

Julia Cruz Spain, LPC

  • Professional Counselor
  • Gilbert, AZ
National Provider Identifier
1205932936
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-11141 Issued in AZ
Practice address
633 E Ray Rd
Suite 107
Gilbert, AZ 85296-4200
Phone
(602) 697-1023
Fax
(480) 422-5611
NPI assigned
Sep 16, 2006
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-11141 AZ Primary

Addresses

Primary practice location

633 E Ray Rd
Suite 107
Gilbert, AZ 85296-4200

Mailing address

1235 S Pueblo CT
Gilbert, AZ 85233-8343
Phone (480) 812-3059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305000238 AZ Practitioner - Mental Health Counselor 2860837564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Balance Counseling LLCGroup PAC ID 1951746650, 5 clinicians

Practice addresses (Care Compare)

2509 S Power Rd
Suite 110
Mesa, AZ 85209-6696
Phone (480) 912-4691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Core Balance Counseling, LLC CurrentSince Jan 13, 2024 Accepting new patients
Gilbert Counselors, LLC PastSince Jan 1, 2024 Accepting new patients

Locations

2340 W Ray Rd
Ste 2
Chandler, AZ 85224
Phone (480) 687-4988

2509 S Power Rd
Ste 110
Mesa, AZ 85209
Phone (480) 223-0223

Organizations & group practices 2

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1205932936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 S PUEBLO CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852338343",
            "telephone_number": "480-812-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E RAY RD",
            "address_2": "SUITE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964200",
            "telephone_number": "602-697-1023",
            "fax_number": "480-422-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN",
        "first_name": "JULIA",
        "middle_name": "CRUZ",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.