Elisavet Ruelas

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-24790 Issued in AZ

Practice address

2222 W Pinnacle Peak Rd Ste 220
Phoenix, AZ 85027-1224

Phone

(480) 347-4480

NPI assigned

Jun 19, 2023

Last updated

May 8, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa Ruelas Other name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• FKL Enterprises, LLC

  dba reVIBE Mental Health

  • Marriage & Family Therapist
  • Scottsdale, AZ
  • NPI 1346982782
  Medicare reassignment NPD (past)
• FKL Enterprises, LLC

  dba reVIBE Mental Health

  • Marriage & Family Therapist
  • Phoenix, AZ
  • NPI 1316796790
  NPD (past)
• Lifeline at Alphaomega

  • Professional Counselor
  • Chandler, AZ
  • NPI 1225404684
  NPD (past)

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1699450551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W PINNACLE PEAK RD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271224",
            "telephone_number": "480-347-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W PINNACLE PEAK RD STE 220",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850271224",
            "telephone_number": "480-347-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELAS",
        "first_name": "ELISAVET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "RUELAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mya Ann Swan Rueda, D.P.T.
• Sonya Rueda
• Karen Ruehle-Kumar, CCC-SLP
• Kaylie Ruel
• Angelica Ruelas
• Jesse Anthony Ruelas
• Ligia Ruelas
• Ronald Ruff, SCHOOL PSYCHOLOGIST
• Sabrina Ruffenach, BSN, RN, TCTCN
• Regis Rugamba

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2026; 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.

Verify at the official NPI Registry.