Individual provider Active NPI

Luis David Capestany Cruz, M.R.C., C.G.G.

  • Counselor
  • Portland, OR
National Provider Identifier
1568831444
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
9120 SW 91St Ave
#8
Portland, OR 97223-6845
Phone
(971) 330-9273
NPI assigned
Sep 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 1551 PR
Counselor 101Y00000X OR Primary

Addresses

Primary practice location

9120 SW 91St Ave
#8
Portland, OR 97223-6845

Mailing address

9120 SW 91St Ave
#8
Portland, OR 97223-6845

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

State licenses

LicenseStateTypeSpecialty
1551PRMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Counseling LLC Counselor Current Accepting new patients

Organizations & group practices 1

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": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1568831444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 SW 91ST AVE",
            "address_2": "#8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 SW 91ST AVE",
            "address_2": "#8",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972236845",
            "telephone_number": "971-330-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPESTANY CRUZ",
        "first_name": "LUIS",
        "middle_name": "DAVID",
        "credential": "M.R.C., C.G.G.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-21",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "PR",
            "license": "1551",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.