Active NPI
Stephanie Denise Cruz-Trevino, M.A., LPC
- Mental Health Counselor
- Austin, TX
National Provider Identifier
1386051910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 67682
- Practice address
- 813 W 11TH St
A
Austin, TX 78701-2057 - Phone
- (512) 705-7990
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 67682 | TX | Primary |
Addresses
Primary practice location
813 W 11TH St
A
Austin, TX 78701-2057
Mailing address
2504 Saint James PL
Round Rock, TX 78665-4020
Phone (512) 705-7990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67682 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1386051910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2504 SAINT JAMES PL",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786654020",
"telephone_number": "512-705-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "813 W 11TH ST",
"address_2": "A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787012057",
"telephone_number": "512-705-7990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ-TREVINO",
"first_name": "STEPHANIE",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "67682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.