Individual provider Active NPI

Lisa Ruehl

  • Mental Health Counselor
  • Las Vegas, NV
National Provider Identifier
1063877983
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C10310 Issued in NV
Practice address
243 Greenbriar Townhouse Way
Las Vegas, NV 89121-2462
Phone
(702) 572-7673
NPI assigned
Dec 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X C10310 NV Primary

Addresses

Primary practice location

243 Greenbriar Townhouse Way
Las Vegas, NV 89121-2462

Mailing address

243 Greenbriar Townhouse Way
Las Vegas, NV 89121-2462
Phone (702) 572-7673

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

LicenseStateTypeSpecialty
C10310NVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwaters Family Guidance and Wellness Centers,LLC Past Accepting new patients
Clearwaters Family Guidance and Wellness Centers LLC PastSince Apr 16, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1063877983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 GREENBRIAR TOWNHOUSE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212462",
            "telephone_number": "702-572-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 GREENBRIAR TOWNHOUSE WAY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212462",
            "telephone_number": "702-572-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEHL",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-18",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "C10310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.