Agustin Joseph Cruz, MPA, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006356 Issued in VA

Practice address

7825 Midlothian Tpke Ste 203
North Chesterfield, VA 23235-5247

Phone

(229) 412-8125

NPI assigned

Sep 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Safe and Stable Families Wellness Center, P.C.

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1124550587
  NPD Authorized official

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1982004503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7825 MIDLOTHIAN TPKE STE 203",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355247",
            "telephone_number": "229-412-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7825 MIDLOTHIAN TPKE STE 203",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355247",
            "telephone_number": "229-412-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "AGUSTIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MPA, MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006356",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006356",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701006356",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0701006356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Cress, LPC
• Sonia I Crimaldi, M.D.
• Sandra Gail Crocker, LPC, CSAC, CRC
• Alexandra Christine Cromer
• Kelly Crowley
• Heather Cryer, LCSW
• Crystal a Joyce DMD PLLC
• CSS & Associates LLC
• Amy Cuenin, PHARMD
• Erin Alexis Cuff

• Professional Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.