Active NPI
Ivelisse Ruiz, MA
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1073171203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17851
- Practice address
- 1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785 - Phone
- (407) 382-9079
- NPI assigned
- Jun 3, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17851 | FL | Primary |
Addresses
Primary practice location
1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785
Mailing address
1383 Shallcross Ave
Orlando, FL 32828-6839
Phone (787) 218-8136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17851 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hispanic Family Counseling Inc | Current | Accepting new patients | |
| Hispanic Family Counseling Inc | Past | Accepting new patients |
Locations
6900 S Orange Blossom Trl
Ste 402
Orlando, FL 32809
Phone (402) 570-4597
1707 Orlando Central Pkwy
Ste 480
Orlando, FL 32809
Phone (321) 443-5612
Networks
- Freedom Health HMO Network
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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1669727699
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1629550306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1073171203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 SHALLCROSS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328286839",
"telephone_number": "787-218-8136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 ORLANDO CENTRAL PKWY STE 480",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328095785",
"telephone_number": "407-382-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "IVELISSE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "17851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.