Active NPI
Everardo Aviles Ruiz, MSW, LCSW, LCAS
- Addiction (Substance Use Disorder) Counselor
- Reidsville, NC
National Provider Identifier
1497249197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCAS-24740
- Practice address
- 371 NC Highway 65 Ste 204
Reidsville, NC 27320-8881 - Phone
- (336) 342-8300
- NPI assigned
- Jun 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-24740 | NC | Primary |
| Clinical Social Worker | 1041C0700X | C013286 | NC |
Addresses
Primary practice location
371 NC Highway 65 Ste 204
Reidsville, NC 27320-8881
Mailing address
1981 Worsham Mill Rd
Ruffin, NC 27326-9421
Phone (336) 705-4774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260203001086 | NC | Practitioner - Clinical Social Worker | 5991283707 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
371 NC Hwy 65
Suite 204
Reidsville, NC 27320-8881
371 NC Hwy 65 204
Reidsville, NC 27320-8881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-24740 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| C013286 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockingham County Finance Office | Multi-Specialty | Current | Accepting new patients |
| Rockingham County Finance Office | Past | Accepting new patients |
Locations
371 NC Highway 65
Ste 204
Reidsville, NC 27320
Phone (336) 342-8140
Organizations & group practices 2
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.
-
- State or Local Public Health Clinic/Center
- Reidsville, NC
- NPI 1306947445
Multi-Specialty, NC
-
- State or Local Public Health Clinic/Center
- Wentworth, NC
- NPI 1043366891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1497249197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1981 WORSHAM MILL RD",
"city": "RUFFIN",
"state": "NC",
"postal_code": "273269421",
"telephone_number": "336-705-4774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "371 NC HIGHWAY 65 STE 204",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273208881",
"telephone_number": "336-342-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES RUIZ",
"first_name": "EVERARDO",
"name_prefix": "Mr.",
"credential": "MSW, LCSW, LCAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-18",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "LCAS-24740",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C013286",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reidsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.