SHANE CRUZ MSW
NPI 1164978052
Counselor - Mental Health in Clackamas, OR

Q: What is Shane Cruz's NPI number?

The NPI number for Shane Cruz is 1164978052. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Q: What is Shane Cruz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Cruz was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 30, 2016PECOS Enrolled

10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015(503) 571-0884 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2021, Aug 30, 2016 (2 updates tracked since 2016).

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About Shane Cruz Msw NPPES

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

SHANE CRUZ MSW (NPI 1164978052) is an individual mental health provider in Clackamas, Oregon and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164978052

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameSHANE CRUZCredential: MSW

Location Address10180 SE SUNNYSIDE RDClackamas, OR 97015-8970

Mailing Address5904 Ne 13th AvePortland, OR 97211-4231

Phone(503) 571-0884

Sole ProprietorNo

Enumeration DateAugust 30, 2016

Last NPPES UpdateDecember 30, 20212 updates tracked since enumeration

NPPES CertifiedDecember 30, 2021

✔ NPI 1164978052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

10180 SE SUNNYSIDE RD, Clackamas, OR 97015

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Cruz Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

DR. DANIEL FORREST LOTSPEICH MD

Internal Medicine

10180 SE SUNNYSIDE RD, KAISER PERMANENTE DEPARTMENT OF INTERNAL MEDICINE
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

MEGAN LEA KELLY

Emergency Medicine

10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL CENTER
CLACKAMAS, OR 97015

Clackamas County (503) 652-2880

JARROD L LARSON M.D.

Anesthesiology