Individual provider Active NPI

Andrea Marie Ruiz, MA, LIMHP

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1467619932
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1184 Issued in NE
Practice address
2748 South St
Lincoln, NE 68502-3252
Phone
(402) 580-0124
Fax
(855) 481-0775
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1184 NE Primary

Addresses

Primary practice location

2748 South St
Lincoln, NE 68502-3252

Mailing address

2748 South St
Lincoln, NE 68502-3252
Phone (402) 580-0124

Other names 1

  • Ms. Andrea Marie Kerr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119003207 NE Practitioner - Mental Health Counselor 3577915057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bryan Medical CenterGroup PAC ID 4284628652, 50 clinicians

Practice addresses (Care Compare)

2221 S 17TH St
201 Bryan Medical Center Counseling Center
Lincoln, NE 68502-3700
Phone (402) 481-5991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1184NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bryan Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Ruiz Counseling LLC Mental Health Current Accepting new patients
Bryan Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Bryan Medical Center Current Accepting new patients

Locations

2748 South St
Lincoln, NE 68502
Phone (402) 580-0124

2221 S 17th St
Ste 201
Lincoln, NE 68502
Phone (402) 481-5991

1600 S 48th St
Lincoln, NE 68506
Phone (402) 481-9049

2300 S 16th St
Lincoln, NE 68502
Phone (402) 434-6042

Organizations & group practices 4

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1467619932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023252",
            "telephone_number": "402-580-0124",
            "fax_number": "855-481-0775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685023252",
            "telephone_number": "402-580-0124",
            "fax_number": "855-481-0775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "KERR",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MA, PLMHP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.