Organization Active NPI

Julia Cruzen PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kennewick, WA
National Provider Identifier
1215792783
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JULIA CRUZEN PLLC
Practice address
8390 W Gage Blvd Ste 210
Kennewick, WA 99336-8105
Phone
(509) 987-1712
Fax
(509) 987-1715
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Julia Cruzen, M.ED
Title
LMHC
Phone
(509) 987-1712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

8390 W Gage Blvd Ste 210
Kennewick, WA 99336-8105

Mailing address

8390 W Gage Blvd Ste 210
Kennewick, WA 99336-8105
Phone (509) 987-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240503002544 WA Part B Supplier - Clinic/Group Practice 1153761374 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

8390 W Gage Blvd
Ste 210
Kennewick, WA 99336
Phone (509) 987-1712

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1215792783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W GAGE BLVD STE 210",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368105",
            "telephone_number": "509-987-1712",
            "fax_number": "509-987-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W GAGE BLVD STE 210",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368105",
            "telephone_number": "509-987-1712",
            "fax_number": "509-987-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIA CRUZEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "CRUZEN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "509-987-1712",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.