Individual provider Active NPI

Tracy Turner Cruse, LCMHC

  • Mental Health Counselor
  • Goldsboro, NC
National Provider Identifier
1649963695
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A17502 Issued in NC
Practice address
696 N Spence Ave Ste C
Goldsboro, NC 27534-4354
Phone
(919) 581-7072
Fax
(919) 288-1879
NPI assigned
May 26, 2023
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A17502 NC Primary

Addresses

Primary practice location

696 N Spence Ave Ste C
Goldsboro, NC 27534-4354

Mailing address

696 N Spence Ave Ste C
Goldsboro, NC 27534-4354
Phone (919) 581-7072

Other practice location 1

4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone (919) 750-4114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240520003908 NC Practitioner - Mental Health Counselor 3274975420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Living Waters Counseling PLLCGroup PAC ID 3072957117, 2 clinicians

Practice addresses (Care Compare)

696 N Spence Ave
Suite C
Goldsboro, NC 27534-4354
Phone (919) 581-7072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A17502NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Living Waters Counseling, PLLC CurrentSince May 1, 2024 Accepting new patients

Locations

696 N Spence Ave
Ste C
Goldsboro, NC 27534
Phone (919) 223-2741

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": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1649963695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 N SPENCE AVE STE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344354",
            "telephone_number": "919-581-7072",
            "fax_number": "919-288-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 N SPENCE AVE STE C",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275344354",
            "telephone_number": "919-581-7072",
            "fax_number": "919-288-1879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4030 Wake Forest Rd Ste 349",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276090010",
            "country_code": "US",
            "telephone_number": "919-750-4114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUSE",
        "first_name": "TRACY",
        "middle_name": "TURNER",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.