CAROLYN CRUSE
NPI 1023465952
Counselor - Mental Health in Paxton, IL

Active since May 20, 2016Opted out of Medicare · through May 20, 2027
1510 W OTTAWA RD, PAXTON, IL 60957(217) 379-4302(217) 379-4304 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carolyn Cruse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLYN CRUSE (NPI 1023465952) is an individual mental health provider in Paxton, Illinois and active in the NPI registry since May 2016. She has opted out of Medicare through May 20, 2027.

NPPES Registry Identity

NPI1023465952
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCAROLYN CRUSE
Location Address1510 W OTTAWA RDPaxton, IL 60957-4090
Mailing Address1510 W Ottawa RdPaxton, IL 60957-4090 · (217) 379-4302 · Fax (217) 379-4304
Fax(217) 379-4304
Sole ProprietorNo
Enumeration DateMay 20, 2016
NPI 1023465952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1510 W OTTAWA RD, Paxton, IL 60957

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Carolyn Cruse has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 20, 2021 through May 20, 2027.

Opt-Out Effective DateMay 20, 2021
Opt-Out In Effect ThroughMay 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1510 W OTTAWA RD
PAXTON, IL 60957
Social Worker
1510 W OTTAWA RD
PAXTON, IL 60957
Counselor
1510 W OTTAWA RD
PAXTON, IL 60957
Social Worker
1510 W OTTAWA RD
PAXTON, IL 60957
Counselor (Mental Health)
1510 W OTTAWA RD
PAXTON, IL 60957
Social Worker
1510 W OTTAWA RD
PAXTON, IL 60957
Counselor (Mental Health)
1510 W OTTAWA RD
PAXTON, IL 60957
Counselor (Mental Health)
1510 W OTTAWA RD
PAXTON, IL 60957

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolyn Cruse's NPI number?

The NPI number for Carolyn Cruse is 1023465952. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Carolyn Cruse located?

Carolyn Cruse practices at 1510 W Ottawa Rd, Paxton, IL 60957. The listed phone number is (217) 379-4302.

What is Carolyn Cruse's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Carolyn Cruse enrolled in Medicare?

No. Carolyn Cruse has opted out of Medicare through May 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Carolyn Cruse was last updated on May 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.