Individual provider Active NPI

Felix D Cruz, LPC

  • Professional Counselor
  • Trenton, GA
National Provider Identifier
1518593151
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
13570 N Main St
Trenton, GA 30752-2012
Phone
(706) 956-2665
Fax
(706) 657-5885
NPI assigned
Mar 16, 2020
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

13570 N Main St
Trenton, GA 30752-2012

Mailing address

13570 N Main St
Trenton, GA 30752-2012
Phone (706) 956-2665

Other practice location 1

87 S Burnt Mill Rd
LA Fayette, GA 30728-4263
Phone (706) 996-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240823002720 GA Practitioner - Mental Health Counselor 0840739611 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Care Center of Dade, Inc. Current Accepting new patients
Primary Health Care Center of Dade, Inc. CurrentSince Jun 28, 2024 Accepting new patients
Primary Health Care Center of Dade, Inc. CurrentSince Jun 28, 2024 Accepting new patients
Primary Health Care Center of Dade, Inc. CurrentSince Jun 28, 2024 Accepting new patients

Locations

87 S Burnt Mill Rd
La Fayette, GA 30728
Phone (706) 620-4494

13570 N Main St
Trenton, GA 30752
Phone (404) 657-7575

13570 N Main St
#0
Trenton, GA 30752

134 Rhea McClanahan Dr
Tunnel Hill, GA 30755
Phone (706) 516-1814

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1518593151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13570 N MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522012",
            "telephone_number": "706-956-2665",
            "fax_number": "706-657-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13570 N MAIN ST",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522012",
            "telephone_number": "706-956-2665",
            "fax_number": "706-657-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "87 S Burnt Mill Rd",
            "address_purpose": "LOCATION",
            "city": "LA Fayette",
            "state": "GA",
            "postal_code": "307284263",
            "country_code": "US",
            "telephone_number": "706-996-2797",
            "fax_number": "706-657-5885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "FELIX",
        "middle_name": "D",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, GA

Sources for this page

Verify at the official NPI Registry.