Cruzan Homestead

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CRUZAN HOMESTEAD

Practice address

5305 Jefferson Pike Ste C7
Frederick, MD 21703-6982

Phone

(301) 244-9410

NPI assigned

Jun 26, 2020

Organization subpart

No

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

Authorized official

Name

Cathy Cruzan

Title

Office Manager

Phone

(301) 244-9410

Specialties & licenses 1

Addresses

Other names 1

• Cruzan Counseling Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David John Cruzan, M.S., L.G.P.C.

  • Professional Counselor
  • Frederick, MD
  • NPI 1366892234
  NPD

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

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1942827951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 ROHRERSVILLE RD",
            "city": "KNOXVILLE",
            "state": "MD",
            "postal_code": "217581129",
            "telephone_number": "301-244-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 JEFFERSON PIKE STE C7",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217036982",
            "telephone_number": "301-244-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRUZAN HOMESTEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "CRUZAN",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-244-9410"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cruzan Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gary Crotteau
• Laine Cathleen Crouse
• Wayne L Crowder, M.D.
• Crown Care Corporation
• Mary K Crum, PT
• David John Cruzan, M.S., L.G.P.C.
• CS Pacs 3 Northeast, LLC
• Ctucks Mental Health, LLC
• Julia Cubit, L.AC.
• Rebecca Ann Cucina, CSC-AD

• Professional Counselor in Frederick, MD
• Providers in Frederick, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.