Active NPI
Jonathan Emmanuel Ruiz, LMSW
- Clinical Social Worker
- Kansas City, MO
National Provider Identifier
1245913359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2026019386
- Practice address
- 3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807 - Phone
- (913) 961-9962
- NPI assigned
- Aug 8, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2023031829 | MO | |
| Clinical Social Worker | 1041C0700X | 2026019386 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 07254 | KS |
Addresses
Primary practice location
3801 Dr Martin Luther King Jr Blvd
Kansas City, MO 64130-2807
Mailing address
99 S 17TH St
Kansas City, KS 66102-4946
Phone (913) 961-9962
Other practice location 1
6000 LaMar Ave Ste 130
Mission, KS 66202-3234
Phone (913) 826-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023031829 | MO | MD | Social Worker |
| 2026019386 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1245913359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 S 17TH ST",
"city": "KANSAS CITY",
"state": "KS",
"postal_code": "661024946",
"telephone_number": "913-961-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 DR MARTIN LUTHER KING JR BLVD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641302807",
"telephone_number": "913-961-9962"
}
],
"practiceLocations": [
{
"address_1": "6000 LaMar Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Mission",
"state": "KS",
"postal_code": "662023234",
"country_code": "US",
"telephone_number": "913-826-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "JONATHAN",
"middle_name": "EMMANUEL",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-08",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2023031829",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2026019386",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KS",
"license": "07254",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.