Active NPI
Rosa Ruvio, LMHC, M.S.
- Mental Health Counselor
- East Islip, NY
National Provider Identifier
1346607140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007028
- Practice address
- 107 W Main St
East Islip, NY 11730-2337 - Phone
- (631) 666-1615
- NPI assigned
- Jan 25, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 007028 | NY | Primary |
Addresses
Primary practice location
107 W Main St
East Islip, NY 11730-2337
Mailing address
87 Mohawk Ave
Deer Park, NY 11729-2408
Phone (631) 365-9882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- 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 Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.C. | Mental Health | Current | Accepting new patients |
Locations
134 N 4th St
Brooklyn, NY 11249
139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751
Organizations & group practices 1
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": "1453680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453680000000",
"number": "1346607140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 MOHAWK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117292408",
"telephone_number": "631-365-9882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 W MAIN ST",
"city": "EAST ISLIP",
"state": "NY",
"postal_code": "117302337",
"telephone_number": "631-666-1615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUVIO",
"first_name": "ROSA",
"credential": "LMHC, M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-25",
"last_updated": "2016-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; 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.