Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104332170 Individual Practitioner Male Practitioner

John J Cruz

Peer Specialist • Republic, WA

Professional Overview & Biography Verified Profile Summary

John Cruz is a registered healthcare professional specializing in Peer Specialist in Republic, WA. Practice services are available at 65 N KELLER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

65 N Keller

Republic, WA 991668804

Telephone 5097753364
Fax 5097758906
Associated Practice Facility / Clinic
🏢 Stevens County Facility NPI 1891792966

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Republic, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Republic, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG60806753

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Robert Riley , BA

Counselor - Mental Health

NPI 1013050145

Bachelor of Arts

Cecile Taylor , MS, LMHC, SUDP, DCR

Counselor - Mental Health

NPI 1073656690

Master of Science, Licensed Mental Health Counselor, SUDP, DCR

Martha King , MED, LMHC

Counselor - Professional

NPI 1144363276

Master of Education, Licensed Mental Health Counselor

Joshua Hurst , BS

Counselor - Mental Health

NPI 1235274788

Bachelor of Science

Regina Sopher

Counselor - Mental Health

NPI 1245373208
Mailyn Fleck

Peer Specialist

NPI 1275045536

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 28, 2017

Registered at 65 N KELLER, REPUBLIC, WA 991668804 (Tel: 5097753364)

📍
Updated Business Mailing Address December 28, 2017

Registered at 165 E HAWTHORNE AVE, COLVILLE, WA 991142629 (Tel: 5096844597)

👤
Provider Name / Credentials Updated December 28, 2017

Recorded as JOHN CRUZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Peer Specialist (License #CG60806753 in WA)

🟢
Initial NPI Registration & Enumeration December 28, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104332170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2017
Last Update: December 28, 2017
Sole Proprietor: No

Mailing Address

165 E Hawthorne Ave

Colville, WA 991142629

Phone: 5096844597

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.