Individual provider Active NPI

Mercedez Ruiz

  • Mental Health Counselor
  • Bayonne, NJ
National Provider Identifier
1114691532
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
654 Avenue C Ste 301
Bayonne, NJ 07002-3899
Phone
(201) 743-8889
NPI assigned
Aug 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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 Primary

Addresses

Primary practice location

654 Avenue C Ste 301
Bayonne, NJ 07002-3899

Mailing address

67 W 2ND St
Bayonne, NJ 07002-2362
Phone (201) 705-4146

Other practice location 1

328 Denison St
Highland Park, NJ 08904-2732
Phone (732) 610-5119

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Medical PC CurrentSince Sep 20, 2022 Accepting new patients
A Space for You Mental Health Care PC CurrentSince Sep 20, 2022 Accepting new patients
Jusleine Expressions, LLC Mental Health CurrentSince Aug 15, 2021 Accepting new patients

Locations

654 Avenue C
Ste 301
Bayonne, NJ 07002
Phone (201) 339-4644

328 Denison St
Highland Park, NJ 08904
Phone (732) 266-5154

Organizations & group practices 3

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": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1114691532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W 2ND ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022362",
            "telephone_number": "201-705-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 AVENUE C STE 301",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023899",
            "telephone_number": "201-743-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "328 Denison St",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "NJ",
            "postal_code": "089042732",
            "country_code": "US",
            "telephone_number": "732-610-5119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "MERCEDEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.