Active NPI
Naomi Eve Cruz, LCDC, LPC-INTERN
- Addiction (Substance Use Disorder) Counselor
- Lewisville, TX
National Provider Identifier
1982235545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15201
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15201 | Other | TX | TEXAS STATE DEPARTMENT OF HEALTH SERVICES |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15201 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rayl Enterprises | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Room for Change | Current | 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.
-
- Counselor
- Garland, TX
- NPI 1225535644
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Fort Worth, TX
- NPI 1891044228
Addiction (Substance Use Disorder)
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.