Individual provider Active NPI

Wascar Cruz

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1932537255
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8430 W Lake Mead Blvd Ste 139
Las Vegas, NV 89128-7672
Phone
(702) 489-5050
Fax
(702) 485-5207
NPI assigned
Oct 23, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

8430 W Lake Mead Blvd Ste 139
Las Vegas, NV 89128-7672

Mailing address

9525 Kickapoo Ave
Las Vegas, NV 89149-2398
Phone (702) 352-8888

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lions Crest LLC Community/Behavioral Health Current Accepting new patients
Lions Crest L.L.C. Community/Behavioral Health Current Accepting new patients
Team Crisis USA Community/Behavioral Health PastSince May 16, 2022 Accepting new patients
House of Champions USA LLC Community/Behavioral Health PastSince May 16, 2022 Accepting new patients

Locations

5420 W Sahara Ave
Ste 102
Las Vegas, NV 89146
Phone (702) 772-8892

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1932537255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 KICKAPOO AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891492398",
            "telephone_number": "702-352-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 W LAKE MEAD BLVD STE 139",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891287672",
            "telephone_number": "702-489-5050",
            "fax_number": "702-485-5207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "WASCAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.