Carlos Ruiz, M.DIV., M.A. INTERN

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

507 A. Thornhill Drive
Carol Stream, IL 60188-2703

Phone

(630) 752-9750

NPI assigned

Aug 29, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agave Studio, LLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1023427861
  NPD (past)
• Central Dupage Pastoral Counseling Center

  • Professional Counselor
  • Carol Stream, IL
  • NPI 1063401206

  Pastoral

  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346198400000",
    "number": "1386993939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 A. THORNHILL DRIVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882703",
            "telephone_number": "630-752-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 A. THORNHILL DRIVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601882703",
            "telephone_number": "630-752-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "M.DIV., M.A. INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Roberts, DPT
• Rockwood Dialysis LLC (Geneva Crossing Dialysis)
• Stefhanie Rodriguez Marmolejo
• Alana Marquez Roth, PSYD
• Roy J. Betti, M.D.S.C.
• Renata Rygula Koziol
• Lauren Ashley Rys, PHARMD
• Diana L Sanchez, RBT-18-59177
• Reina Sanchez
• Asha Sanju

• Counselor in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.