Active NPI
Jose Cruz
- Counselor
- Springfield, MA
National Provider Identifier
1881181360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 110 Maple St
Springfield, MA 01105 - Phone
- (413) 732-7419
- Fax
- (413) 781-1059
- NPI assigned
- Apr 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
110 Maple St
Springfield, MA 01105
Mailing address
110 Maple St
Springfield, MA 01105-1864
Phone (413) 732-7419
Other practice location 1
95 Frank B Murray St
Springfield, MA 01103-1106
Phone (413) 285-8586
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567987200000",
"number": "1881181360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MAPLE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011051864",
"telephone_number": "413-732-7419",
"fax_number": "413-781-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MAPLE ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01105",
"telephone_number": "413-732-7419",
"fax_number": "413-781-1059"
}
],
"practiceLocations": [
{
"address_1": "95 Frank B Murray St",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011031106",
"country_code": "US",
"telephone_number": "413-285-8586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRUZ",
"first_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-19",
"last_updated": "2019-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.