Active NPI
Milagros Severin-Ruiz, LMFT, LCADC, LCADC-S
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1982808960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2632
- Practice address
- 8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674 - Phone
- (702) 573-5825
- NPI assigned
- Jun 13, 2007
- Sex
- Female
- 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 | 00554-LC | NV | |
| Marriage & Family Therapist | 106H00000X | 2632 | NV | Primary |
Addresses
Primary practice location
8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674
Mailing address
8430 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-7674
Phone (702) 573-5825
Other practice location 1
1640 Alta Dr Ste 4
Las Vegas, NV 89106-4165
Phone (702) 474-6450
Other names 1
- Milagros Severin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00554-LC | NV | MD | Addiction (Substance Use Disorder) Counselor |
| 2632 | NV | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1982808960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8430 W LAKE MEAD BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287674",
"telephone_number": "702-573-5825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8430 W LAKE MEAD BLVD STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287674",
"telephone_number": "702-573-5825"
}
],
"practiceLocations": [
{
"address_1": "1640 Alta Dr Ste 4",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891064165",
"country_code": "US",
"telephone_number": "702-474-6450",
"fax_number": "702-474-6463",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEVERIN-RUIZ",
"first_name": "MILAGROS",
"name_prefix": "Mrs.",
"credential": "LMFT, LCADC, LCADC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NV",
"license": "00554-LC",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "2632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILAGROS",
"last_name": "SEVERIN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.