Individual provider Active NPI

Luis G. Cruz-Ortega, PHD, LP, LPCC-S

  • Counseling Psychologist
  • Columbus, OH
National Provider Identifier
1235117011
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
P.7390 Issued in OH
Practice address
4041 N High St Ste 300a
Columbus, OH 43214-3200
Phone
(614) 859-0499
Fax
(614) 516-0703
NPI assigned
Jan 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X E.0700070-SUPV OH
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X P.7390 OH Primary

Addresses

Primary practice location

4041 N High St Ste 300a
Columbus, OH 43214-3200

Mailing address

4041 N High St
Ste 300a
Columbus, OH 43214-3200
Phone (614) 859-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230118001289 OH Practitioner - Clinical Psychologist 9436410180 Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4041 N High St
Suite 300a
Columbus, OH 43214-3200
Phone (614) 859-0499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
E.0700070-SUPVOHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649980800000",
    "number": "1235117011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST",
            "address_2": "STE 300A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143200",
            "telephone_number": "614-859-0499",
            "fax_number": "614-516-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST STE 300A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143200",
            "telephone_number": "614-859-0499",
            "fax_number": "614-516-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ORTEGA",
        "first_name": "LUIS",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PHD, LP, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.0700070-SUPV",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "P.7390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.