Sergio M Ruiz, MA.LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5366 Issued in FL

Practice address

555 Winderly Place Suite 300
Maitland, FL 32751

Phone

(407) 571-6862

NPI assigned

Mar 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1669614525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WINDERLY PLACE SUITE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-571-6862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WINDERLY PLACE SUITE 300",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "32751",
            "telephone_number": "407-571-6862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "SERGIO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "MA.LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Gabriele Rubin
• Jocelyn Janelle Rudd, LCSW
• Melanie D Ruder
• Delvis Humberto Ruiz Urquia
• Jessica Ruiz, LCSW
• Robin Smith Rush, SLP
• Anna Rusinowski, M.A., L.M.H.C.
• Brooke Rusoff
• Lisseth Russa, MS, RMHI, CBHCMS
• Terisa Bay Russell, LMT

• Mental Health Counselor in Maitland, FL
• Providers in Maitland, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.