Active NPI
Jeremyra Cross
- Marriage & Family Therapist
- Raleigh, NC
National Provider Identifier
1841634748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 203564
- Practice address
- 219 S East St
Raleigh, NC 27601-2369 - Phone
- (210) 704-7403
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 203564 | TX | Primary |
| Marriage & Family Therapist | 106H00000X | 21032 | NC | |
| Contractor | 171W00000X |
Addresses
Primary practice location
219 S East St
Raleigh, NC 27601-2369
Mailing address
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
Phone (580) 514-8035
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 |
|---|---|---|---|
| 203564 | TX | MD | Marriage & Family Therapist |
| 21032 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1841634748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 WAKE FOREST RD STE 349",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276090010",
"telephone_number": "580-514-8035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 S EAST ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276012369",
"telephone_number": "210-704-7403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "JEREMYRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-22",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "203564",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "21032",
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.