Individual provider Active NPI

Octavio Cruz, L.P.C.

  • Professional Counselor
  • Mission, TX
National Provider Identifier
1932454311
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65172 Issued in TX
Practice address
2121 E Griffin Pkwy Ste 14
Mission, TX 78572-3072
Phone
(956) 362-3743
NPI assigned
Jul 20, 2012
Last updated
Oct 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65172 TX Primary

Addresses

Primary practice location

2121 E Griffin Pkwy Ste 14
Mission, TX 78572-3072

Mailing address

3700 Flamingo Ave
McAllen, TX 78504-5113
Phone (361) 739-8327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1932454311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 FLAMINGO AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045113",
            "telephone_number": "361-739-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E GRIFFIN PKWY STE 14",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723072",
            "telephone_number": "956-362-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "OCTAVIO",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

Verify at the official NPI Registry.