Active NPI
Felix D Cruz, LPC
- Professional Counselor
- Trenton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Care Center of Dade, Inc. | Current | Accepting new patients | |
| Primary Health Care Center of Dade, Inc. | Current | Accepting new patients | |
| Primary Health Care Center of Dade, Inc. | Current | Accepting new patients | |
| Primary Health Care Center of Dade, Inc. | Current | 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.
-
dba Primary Health Care Center
- Federally Qualified Health Center (FQHC)
- Fort Oglethorpe, GA
- NPI 1255512182
-
- Federally Qualified Health Center (FQHC)
- Trenton, GA
- NPI 1437102449
-
dba College and Career Academy, SBHC
- Federally Qualified Health Center (FQHC)
- Ringgold, GA
- NPI 1699503771
-
- Federally Qualified Health Center (FQHC)
- La Fayette, GA
- NPI 1891395620
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.