Individual provider Active NPI

Everardo Aviles Ruiz, MSW, LCSW, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Reidsville, NC
National Provider Identifier
1497249197
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCAS-24740 Issued in NC
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

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
LCAS-24740NCMDAddiction (Substance Use Disorder) Counselor
C013286NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rockingham County Finance Office Multi-Specialty CurrentSince Dec 9, 2025 Accepting new patients
Rockingham County Finance Office PastSince Sep 14, 2025 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.

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

Verify at the official NPI Registry.