Individual provider Active NPI

Pedro Ruiz, LPC, LBSW, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Big Spring, TX
National Provider Identifier
1285102467
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13875 Issued in TX
Practice address
219 S Main St Ste B
Big Spring, TX 79720-2518
Phone
(432) 250-1880
NPI assigned
Nov 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 80281 TX
Social Worker 104100000X 31461 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 13875 TX Primary

Addresses

Primary practice location

219 S Main St Ste B
Big Spring, TX 79720-2518

Mailing address

902 Bonham St
Midland, TX 79703-5566
Phone (432) 296-2300

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
31461TXMDPharmacist
13875TXMDSpeech-Language Pathologist
80281TXMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1285102467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BONHAM ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035566",
            "telephone_number": "432-296-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 S MAIN ST STE B",
            "city": "BIG SPRING",
            "state": "TX",
            "postal_code": "797202518",
            "telephone_number": "432-250-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "PEDRO",
        "credential": "LPC, LBSW, LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80281",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "31461",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.