Cory Blake Cruz, PPC
NPI 1497391270ActiveIndividual· Counselor, Professional· Casper, WY
Counselor, Professional (PPC) with S48wy1 LLC, practicing in Casper, Wyoming. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1497391270 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PPC |
| Sole proprietor | No |
| NPI issued | Nov 26, 2019 |
| Last updated in NPPES | Nov 26, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | PPC-1161 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WY) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- S48wy1 LLCCasper, WY · 4 clinicians
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