Active NPI
Diana Perez Ruiz, SAC-IT
- Mental Health Counselor
- West Allis, WI
National Provider Identifier
1063227403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9051-226
- Practice address
- 2363 S 102ND St Ste 203
West Allis, WI 53227-2143 - Phone
- (262) 447-8999
- Fax
- (262) 404-8833
- NPI assigned
- Feb 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19705-130 | WI | |
| Mental Health Counselor | 101YM0800X | 9051-226 | WI | Primary |
Addresses
Primary practice location
2363 S 102ND St Ste 203
West Allis, WI 53227-2143
Mailing address
2363 S 102ND St Ste 203
West Allis, WI 53227-2143
Phone (262) 447-8999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19705-130 | WI | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1063227403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2363 S 102ND ST STE 203",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272143",
"telephone_number": "262-447-8999",
"fax_number": "262-404-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2363 S 102ND ST STE 203",
"city": "WEST ALLIS",
"state": "WI",
"postal_code": "532272143",
"telephone_number": "262-447-8999",
"fax_number": "262-404-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ RUIZ",
"first_name": "DIANA",
"credential": "SAC-IT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-12",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "19705-130",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "9051-226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Allis, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.