Joselyn Cruz, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A5953 Issued in OR

Practice address

1126 Gateway Loop Ste 140
Springfield, OR 97477-7722

Phone

(541) 900-4285

Fax

(888) 810-2993

NPI assigned

May 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1801419262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 LINDSEY AVE",
            "city": "HUBBARD",
            "state": "OR",
            "postal_code": "970329664",
            "telephone_number": "971-338-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 GATEWAY LOOP STE 140",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777722",
            "telephone_number": "541-900-4285",
            "fax_number": "888-810-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "JOSELYN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "A5953",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "A5953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE SOCIAL WORKER ASSOCIATE",
            "identifier": "A5953",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desmond A Crooks, MD
• Kathryn R Cross, MS CCC SLP
• Nicole Suzanne Crossland
• Mallory Gail Crownover, NP
• Koy'a Crutchfield, RN
• CSL - Springfield II, LLC
• CSL - Springfield, LLC
• Jeanne Marie Cullen, MS, RD, CD, CDE
• Harry Gene Cumming
• Rebecca Cuniff

• Mental Health Counselor in Springfield, OR
• Providers in Springfield, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.