Individual provider Active NPI

Lila Marie Cruz

  • Behavior Analyst
  • Boerne, TX
National Provider Identifier
1831770973
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
21-160986 Issued in TX
Practice address
101 Pine View Dr
Boerne, TX 78006-8842
Phone
(830) 816-5510
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 21-160986 TX Primary

Addresses

Primary practice location

101 Pine View Dr
Boerne, TX 78006-8842

Mailing address

101 Pine View Dr
Boerne, TX 78006-8842
Phone (830) 816-5510

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL https://www.mindscapesbehavioralhealth.com/ Direct
Other URL https://www.mindscapesbehavioralhealth.com/ Other
Other URL https://www.mindscapesbehavioralhealth.com/ Other
Other URL https://www.mindscapesbehavioralhealth.com/ Other

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
21-160986TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mindscapes Behavioral Health Behavior Analyst CurrentSince Dec 6, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1831770973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PINE VIEW DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068842",
            "telephone_number": "830-816-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PINE VIEW DR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068842",
            "telephone_number": "830-816-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "LILA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "21-160986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mindscapesbehavioralhealth.com/",
            "affiliation": "N",
            "endpointDescription": "Company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Pine View Dr",
            "city": "Boerne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780068842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.mindscapesbehavioralhealth.com/",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact company",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Pine View Dr",
            "city": "Boerne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780068842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.mindscapesbehavioralhealth.com/",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact company",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Pine View Dr",
            "city": "Boerne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780068842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.mindscapesbehavioralhealth.com/",
            "affiliation": "N",
            "endpointDescription": "Company Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact company",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Pine View Dr",
            "city": "Boerne",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780068842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.