NPIMap

Organization Active NPI

On Wings Like Eagles, LLC

  • Professional Counselor
  • Las Cruces, NM
National Provider Identifier
1245403807
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0078221 Issued in NM
Legal business name
ON WINGS LIKE EAGLES, LLC
Practice address
1445 Pecos
Las Cruces, NM 88005
Phone
(575) 650-0071
NPI assigned
Apr 3, 2008
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Mr. Edward G Kruis, LPCCNPI 1548279409
Title
Owner
Phone
(575) 650-0071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0106801 NM
Professional Counselor 101YP2500X 0078221 NM Primary

Addresses

Primary practice location

1445 Pecos
Las Cruces, NM 88005

Mailing address

1801 Las Tunas Dr
Las Cruces, NM 88011-4956
Phone (575) 650-0071

Other identifiers 1

IdentifierTypeStateIssuer
94876860MedicaidNM

Other names 1

  • Edward G. Kruis, LPCC Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Edward G Kruis LPCC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1245403807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LAS TUNAS DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114956",
            "telephone_number": "575-650-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PECOS",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "88005",
            "telephone_number": "575-650-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON WINGS LIKE EAGLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "KRUIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-650-0071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0106801",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0078221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94876860",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward G. Kruis, LPCC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.