Benetta Cruz, CAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACB-0007944 Issued in CO

Practice address

509 E 13TH St
Pueblo, CO 81001-2940

Phone

(719) 546-6666

NPI assigned

Apr 12, 2018

Last updated

Apr 12, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523491200000",
    "number": "1609373893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 BAYLOR ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810051637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012940",
            "telephone_number": "719-546-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "95 Baylor St",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810051637",
            "country_code": "US",
            "telephone_number": "719-545-3756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "BENETTA",
        "credential": "CAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACB-0007944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Crounck
• Brooke M Crowell
• Amy Crowley
• Christine M Crowley, RN
• Sara L Crowner, M.D.
• Christine Marie Cruz, RN-MSN, NP
• Katie Christine Cruz
• Louella Cruz
• Mario Anthony Cruz, PHARMD
• Salvador Cruz, MD

• Addiction (Substance Use Disorder) Counselor in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; 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.