Active NPI
Carol Diane Cruz, LPC
- Professional Counselor
- Rockwall, TX
National Provider Identifier
1780223107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78311
- Practice address
- 101 S Fannin St Ste 110
Rockwall, TX 75087-3702 - Phone
- (214) 686-0514
- NPI assigned
- Jan 2, 2020
- Last updated
- Jan 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78311 | TX | Primary |
Addresses
Primary practice location
101 S Fannin St Ste 110
Rockwall, TX 75087-3702
Mailing address
1085 Whispering GLN
Rockwall, TX 75087-7223
Phone (214) 686-0514
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
| License | State | Type | Specialty |
|---|---|---|---|
| 78311 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1577923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577923200000",
"number": "1780223107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1085 WHISPERING GLN",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750877223",
"telephone_number": "214-686-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S FANNIN ST STE 110",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750873702",
"telephone_number": "214-686-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "CAROL",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-02",
"last_updated": "2020-01-02",
"certification_date": "2020-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.