Individual provider Active NPI

Maria E. Cruz, LICSW

  • Mental Health Counselor
  • Plymouth, MA
National Provider Identifier
1265592364
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
110102 Issued in MA
Practice address
323 Court St
Plymouth, MA 02360-4322
Phone
(508) 747-2718
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 110102 MA Primary

Addresses

Primary practice location

323 Court St
Plymouth, MA 02360-4322

Mailing address

6 Hammond St
P.O. Box 544
Mattapoisett, MA 02739-2602
Phone (508) 951-9410

Other practice location 1

100 Rosebrook Way
Wareham, MA 02571-1138
Phone (508) 973-8610

Other identifiers 8

IdentifierTypeStateIssuer
154371000OtherMAHMO BLUE
P07786OtherMABSBCMA
1894528MedicaidMA
000000030825OtherMABOSTON MEDICAL CENTER
223774OtherMAMHN
043106680OtherMAPACIFICARE
223774OtherMDTRICARE
461265OtherMATUFTS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcruz5699@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040513000495 MA Practitioner - Clinical Social Worker 1052301025 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
East Side Counseling Services, LLCGroup PAC ID 1052565702, 2 clinicians

Practice addresses (Care Compare)

1311 Bedford St
Fall River, MA 02723-2637
Phone (508) 567-1477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Physicians Group, Inc. CurrentSince Jul 9, 2014 Accepting new patients
East Side Counseling Services, LLC CurrentSince Dec 23, 2016 Accepting new patients
Psychology Associates Inc. CurrentSince Jul 31, 2006 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 9, 2014 Accepting new patients
Highland Psychotherapy, Inc. Past Accepting new patients

Locations

1311 Bedford St
Fall River, MA 02723
Phone (401) 477-4681

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

323 Court St
Plymouth, MA 02360
Phone (508) 747-2705

114 High St
Wareham, MA 02571
Phone (508) 295-2699

100 Rosebrook Way
Wareham, MA 02571
Phone (508) 273-4900

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/psych-associate

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1265592364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HAMMOND ST",
            "address_2": "P.O. BOX 544",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027392602",
            "telephone_number": "508-951-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 COURT ST",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604322",
            "telephone_number": "508-747-2718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rosebrook Way",
            "address_purpose": "LOCATION",
            "city": "Wareham",
            "state": "MA",
            "postal_code": "025711138",
            "country_code": "US",
            "telephone_number": "508-973-8610",
            "fax_number": "508-973-8615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARIA",
        "middle_name": "E.",
        "name_prefix": "Miss",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "110102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO BLUE",
            "identifier": "154371000",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBCMA",
            "identifier": "P07786",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1894528",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL CENTER",
            "identifier": "000000030825",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "223774",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "043106680",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "223774",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "461265",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcruz5699@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "100 Rosebrook Way",
            "city": "Wareham",
            "state": "MA",
            "country_code": "US",
            "postal_code": "025711138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.