Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Yancy Cruz

Individual provider Professional Counselor · NPI 1295147445

Yancy Cruz is a Mental Health Counselor in Carbondale, Illinois. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2014

Practice location Address checks out

310 S Plover Dr
Carbondale, IL 62901-2030
Phone: (787) 372-4808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.016962 (IL)

Record details

NPI number1295147445
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2014
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025
Mailing addressPo Box 3411, Carbondale, IL 62902-3411

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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