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KRISILEE KAY CRUZ ISAS
NPI 1790166122
Counselor - Addiction (Substance Use Disorder) in Idaho Falls, ID

Active since June 11, 2015
2275 W BROADWAY ST STE G, IDAHO FALLS, ID 83402(208) 524-7400(208) 524-8004 Get Directions Write a Review

NPPES record last updated: June 11, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krisilee Kay Cruz Isas NPPES

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

KRISILEE KAY CRUZ ISAS (NPI 1790166122) is an individual addiction (substance use disorder) provider in Idaho Falls, Idaho, licensed in Idaho (10228) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1790166122
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKRISILEE KAY CRUZCredential: ISAS
Location Address2275 W BROADWAY ST STE GIdaho Falls, ID 83402-2902
Mailing Address2275 W Broadway St Ste GIdaho Falls, ID 83402-2902 · (208) 524-7400 · Fax (208) 524-8004
Phone(208) 524-7400
Fax(208) 524-8004
Sole ProprietorYes
Enumeration DateJune 11, 2015
✔ NPI 1790166122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ID · 10228
2275 W BROADWAY ST STE G, Idaho Falls, ID 83402
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Other Identifiers 1

Medicaid0001256907ID

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.

PAULA MARIE GREEN LMSW
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
MARCUS BOYD GOLDER LMSW
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
SHANDRA BLACKER LMSW
Social Worker (Clinical)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
KAITLIN ANN GOTCH LPC
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
BRENDA P STEGELMEIER LPC
Counselor
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
MRS. MORGAN K HUMPHRIES LPC
Counselor (Professional)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400
WADE DARREN LEAVITT LMSW
Social Worker
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 861-2093
LISA ANNE PERUCCA LMSW
Counselor (Mental Health)
2275 W BROADWAY ST STE G
IDAHO FALLS, ID 83402
Bonneville County (208) 524-7400

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 Krisilee Cruz's NPI number?

The NPI number for Krisilee Cruz is 1790166122. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Krisilee Cruz located?

Krisilee Cruz practices at 2275 W Broadway St Ste G, Idaho Falls, ID 83402. The listed phone number is (208) 524-7400.

What is Krisilee Cruz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Krisilee Cruz was last updated on June 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.