| Ms Jessica Ruiz, LMHC | |
|
30-46 Nothern Blvd, Long Island City, NY 11101 | |
| (718) 424-6191 | |
| Not Available |
| Full Name | Ms Jessica Ruiz |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 30-46 Nothern Blvd, Long Island City, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629717236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 013683-01 (New York) | Primary |
| 101YM0800X | Counselor - Mental Health | P114118 (New York) | Secondary |
| Entity Name | New York Counseling For Change, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104456649 PECOS PAC ID: 6709216096 Enrollment ID: O20200429002033 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jessica Ruiz, LMHC 763 Floral Ave, Elizabeth, NJ 07208-1527 Ph: () - | Ms Jessica Ruiz, LMHC 30-46 Nothern Blvd, Long Island City, NY 11101 Ph: (718) 424-6191 |
Clifford William Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2976 Northern Blvd., Long Island City, NY 11101 Phone: 718-517-7937 Fax: 347-510-3457 | |
Jenny Liao, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4322 Queens St Apt 601, Long Island City, NY 11101 Phone: 917-396-2329 | |
Xinran Zhang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4519 Davis St Apt 4c, Long Island City, NY 11101 Phone: 917-984-7486 | |
Ashley Pichardo, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4470 21st St, Long Island City, NY 11101 Phone: 917-522-1418 | |
Ryan A Trekell, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4470 21st St # 3174, Long Island City, NY 11101 Phone: 646-741-9493 | |
Ariel Orlando Ramos, CASAC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2976 Northern Blvd, Long Island City, NY 11101 Phone: 347-510-3622 | |
Analia Guillen, MENTAL HEALTH COUNSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 3046 Northern Blvd, Long Island City, NY 11101 Phone: 718-424-6191 Fax: 718-303-4320 |