Individual provider Active NPI

Ivelisse Colon Cruz, LCSW, LCDC

  • Clinical Social Worker
  • Richmond, TX
National Provider Identifier
1215440441
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66489 Issued in TX
Practice address
400 Austin St
Richmond, TX 77469-4406
Phone
(281) 342-4530
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Bend Family Health Center Inc 18 clinicians

Practice addresses (Care Compare)

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250131000735 TX Practitioner - Clinical Social Worker 5294264578 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16542TXMDProfessional Counselor
66489TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Bend Family Health Center, Inc. CurrentSince Jan 28, 2025 Accepting new patients
Fort Bend Family Health Center, Inc CurrentSince Jan 28, 2025 Accepting new patients

Locations

400 Austin St
Richmond, TX 77469
Phone (281) 342-4530

Interoperability endpoints

  • Direct secure messaging: ivelisse.coloncruz.p1@direct.accesshealth.nextgenshare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16542 TX
Clinical Social Worker 1041C0700X 66489 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

400 Austin St
Richmond, TX 77469-4406

Mailing address

400 Austin St
Richmond, TX 77469-4406
Phone (281) 342-4530

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2025.

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1215440441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUSTIN ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774694406",
            "telephone_number": "281-342-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON CRUZ",
        "first_name": "IVELISSE",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "16542",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.