Felix D Cruz, LPC
Individual provider Active NPI Professional Counselor · Trenton, GA
NPI 1518593151 · NPPES record last updated Jul 15, 2024
Key facts
- NPI
- 1518593151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 13570 N Main St
Trenton, GA 30752-2012 - Phone
- (706) 956-2665
- Fax
- (706) 657-5885
- NPI assigned
- Mar 16, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240823002720 | GA | Practitioner - Mental Health Counselor | 0840739611 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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 |
Locations
87 S Burnt Mill Rd
La Fayette, GA 30728
Phone (706) 620-4494
13570 N Main St
#0
Trenton, GA 30752
13570 N Main St
Trenton, GA 30752
Phone (404) 657-7575
134 Rhea McClanahan Dr
Tunnel Hill, GA 30755
Phone (706) 516-1814
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
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
Other providers in Trenton, GA
- Anuj Chandra
- David Anthony Collins
- Complete Chiropractic Care, LLC
- Jeril Ransom Cooper III
- Barbara Ann Cowan
- Dade County Board of Health
- Dade County Chiropractic Center LLC
- Dade County School System
- Dade County, Georgia
- Dade Health & Rehab, LLC
All providers in Trenton, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.