Gilbert Domingo Cruceta, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006742 Issued in NY

Practice address

60 Fire Island Ave Ste 204
Babylon, NY 11702-3502

Phone

(631) 339-0075

NPI assigned

Aug 7, 2016

Sex

Male

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

Opted out of Medicare

Yes, effective Jan 31, 2024 through Jan 31, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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

{
    "created_epoch": "1470528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1891249975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FIRE ISLAND AVE STE 204",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023502",
            "telephone_number": "631-339-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FIRE ISLAND AVE STE 204",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023502",
            "telephone_number": "631-339-0075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 MacArthur Ave",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "NY",
            "postal_code": "117173404",
            "country_code": "US",
            "telephone_number": "631-404-9491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUCETA",
        "first_name": "GILBERT",
        "middle_name": "DOMINGO",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-07",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Corkhill, P.T.
• Marie Rose Gladys Cornet, L.P.N.
• Marie Elizabeth Cozzi
• Anna Elise Crockett, MSW-LP
• Nicola M Crosswell, RN
• John C Cuellar, MD
• Christopher William Cullam, LPN
• Evelyn Teresa Cuomo, R.N.
• Babak Danesh, MD
• Araceli R Dantes, M.D.

• Mental Health Counselor in Babylon, NY
• Providers in Babylon, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.