Individual provider Active NPI

Naomi Eve Cruz, LCDC, LPC-INTERN

  • Addiction (Substance Use Disorder) Counselor
  • Lewisville, TX
National Provider Identifier
1982235545
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15201 Issued in TX
Practice address
105 Kathryn Dr BLDG 3
Suite D
Lewisville, TX 75067-4216
Phone
(800) 972-0643
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15201 TX Primary

Addresses

Primary practice location

105 Kathryn Dr BLDG 3
Suite D
Lewisville, TX 75067-4216

Mailing address

5769 Belt Line Rd Apt 812
Dallas, TX 75254-7676
Phone (713) 679-4378

Other identifiers 1

IdentifierTypeStateIssuer
15201OtherTXTEXAS STATE DEPARTMENT OF HEALTH SERVICES

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL naomi@grace-counseling.com Rayl Enterprises

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307003408 TX Practitioner - Mental Health Counselor 2062933997 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15201TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rayl Enterprises Addiction (Substance Use Disorder) CurrentSince Feb 2, 2020 Accepting new patients
Room for Change CurrentSince Feb 28, 2025 Accepting new patients

Locations

3256 Southern Dr
Ste 461
Garland, TX 75043
Phone (469) 344-6639

105 Kathryn Dr
Ste D
Lewisville, TX 75067
Phone (800) 972-0643

Organizations & group practices 2

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1982235545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 BELT LINE RD APT 812",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547676",
            "telephone_number": "713-679-4378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 KATHRYN DR BLDG 3",
            "address_2": "SUITE D",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674216",
            "telephone_number": "800-972-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "NAOMI",
        "middle_name": "EVE",
        "name_prefix": "Ms.",
        "credential": "LCDC, LPC-INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE DEPARTMENT OF HEALTH SERVICES",
            "identifier": "15201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "naomi@grace-counseling.com",
            "affiliation": "Y",
            "endpointDescription": "Work email",
            "affiliationName": "Rayl Enterprises",
            "address_1": "105 Kathryn Dr Bldg 3",
            "address_2": "Suite D",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750674216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.