Juanita M Ruiz, LCDC
Individual provider Active NPI Counselor · Cotulla, TX
NPI 1376800151 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1376800151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 10551 (TX)
- Practice address
- 611 Thornton Street
Cotulla, TX 78014 - Phone
- (830) 879-3047
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Texas Rural Health Services, Inc. | Past | Accepting new patients | |
| South Texas Rural Health Services, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 10551 | TX | Yes |
Addresses
Primary practice location
611 Thornton Street
Cotulla, TX 78014
Mailing address
611 Thornton
P.O. Box 599
Cotulla, TX 78014
Phone (210) 954-1347
Other names
- Juanita M Ruiz
Other providers in Cotulla, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.