Individual provider Active NPI

Ivelisse Ruiz, MA

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1073171203
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17851 Issued in FL
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

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430002301 FL Practitioner - Mental Health Counselor 7810413085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
17851FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Family Counseling Inc CurrentSince Apr 28, 2025 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.

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

Verify at the official NPI Registry.