Individual provider Active NPI

Allison Paige Moore-Ruiz

  • Professional Counselor
  • Lumberton, TX
National Provider Identifier
1598596306
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90548 Issued in TX
Practice address
118 Bumstead Rd
Lumberton, TX 77657-7569
Phone
(409) 790-3050
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90548 TX
Professional Counselor 101YP2500X 90548 TX Primary

Addresses

Primary practice location

118 Bumstead Rd
Lumberton, TX 77657-7569

Mailing address

118 Bumstead Rd
Lumberton, TX 77657-7569
Phone (409) 790-3050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90548TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spindletop MHMR Services Mental Health Current Accepting new patients

Locations

2750 S 8th St
Beaumont, TX 77701
Phone (409) 838-6203

Organizations & group practices 1

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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1598596306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BUMSTEAD RD",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577569",
            "telephone_number": "409-790-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BUMSTEAD RD",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577569",
            "telephone_number": "409-790-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE-RUIZ",
        "first_name": "ALLISON",
        "middle_name": "PAIGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90548",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

Verify at the official NPI Registry.