Active NPI
Wascar Cruz
- Mental Health Counselor
- Las Vegas, NV
National Provider Identifier
1932537255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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 | Past | Accepting new patients |
| House of Champions USA LLC | Community/Behavioral Health | Past | 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.
-
- Rehabilitation Psychologist
- Las Vegas, NV
- NPI 1861834186
Community/Behavioral Health
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1649537333
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1134691876
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1457815961
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.