Individual provider Active NPI

Tara Cruise, LMFT

  • Marriage & Family Therapist
  • North Liberty, IA
National Provider Identifier
1760883672
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000403 Issued in IA
Practice address
10 Circle Dr Ste 6
North Liberty, IA 52317-8818
Phone
(319) 270-9545
NPI assigned
Sep 10, 2014
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 000403 IA Primary

Addresses

Primary practice location

10 Circle Dr Ste 6
North Liberty, IA 52317-8818

Mailing address

4408 Wenig Rd NE
Cedar Rapids, IA 52402-2211
Phone (319) 270-9545

Other practice location 1

1221 Park Pl NE Ste F
Cedar Rapids, IA 52402-2019
Phone (319) 364-8741

Other identifiers 1

IdentifierTypeStateIssuer
1760883672OtherIANPI TYPE 1

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
000403IAMDOccupational Therapist

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": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1760883672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 WENIG RD NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524022211",
            "telephone_number": "319-270-9545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CIRCLE DR STE 6",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178818",
            "telephone_number": "319-270-9545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Park Pl NE Ste F",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524022019",
            "country_code": "US",
            "telephone_number": "319-364-8741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUISE",
        "first_name": "TARA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "000403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1760883672",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.