Bonnie Crusalis, LMHC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

0116661 Issued in NM

Practice address

4308 Carlisle Blvd NE
#210
Albuquerque, NM 87107-4856

Phone

(505) 247-1921

Fax

(505) 247-1020

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1841523586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LOS ALAMOS AVE SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871041120",
            "telephone_number": "505-243-3353",
            "fax_number": "505-247-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 CARLISLE BLVD NE",
            "address_2": "#210",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871074856",
            "telephone_number": "505-247-1921",
            "fax_number": "505-247-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUSALIS",
        "first_name": "BONNIE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "0116661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Crozier
• Nick Thomas Crozier, PHARM.D
• Jana Cruickshank, RDH
• John Michael Cruickshank, D.O.
• Melissa Ann Crum, D.O.M.
• Selene Cruz Esparza
• Laura Cruz-Hinson, MD
• Caroline Cruz-Ortiz, M.D.
• Andrew Cruz
• Angie Milagros Cruz

• Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.