Active NPI
Victor Sherwin Cruikshank, LPC
- Counselor
- Colorado Springs, CO
National Provider Identifier
1215236542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 627
- Practice address
- 2812 E Bijou St
Colorado Springs, CO 80909-6339 - Phone
- (719) 457-0660
- Fax
- (719) 520-9570
- NPI assigned
- Mar 25, 2011
- Last updated
- Mar 25, 2011
- Sex
- Male
- 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 | 627 | CO | Primary |
Addresses
Primary practice location
2812 E Bijou St
Colorado Springs, CO 80909-6339
Mailing address
2812 E Bijou St
Colorado Springs, CO 80909-6339
Phone (719) 457-0660
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 |
|---|---|---|---|
| 627 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301011200000",
"number": "1215236542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 E BIJOU ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096339",
"telephone_number": "719-457-0660",
"fax_number": "719-520-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2812 E BIJOU ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809096339",
"telephone_number": "719-457-0660",
"fax_number": "719-520-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUIKSHANK",
"first_name": "VICTOR",
"middle_name": "SHERWIN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-25",
"last_updated": "2011-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.