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MANUEL ANTONIO RUIZ LCPC
NPI 1326743428
Counselor - Professional in Waldorf, MD

Active since March 30, 2023PECOS EnrolledAccepts Medicare Assignment
8819 COTTONGRASS ST, WALDORF, MD 20603(773) 510-1730 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 1, 2023, Mar 30, 2023 (2 updates tracked since 2023).

About Manuel Antonio Ruiz Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANUEL ANTONIO RUIZ LCPC (NPI 1326743428) is an individual professional provider in Waldorf, Maryland, licensed in Maryland (LC13201) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brandywine, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1326743428
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMANUEL ANTONIO RUIZCredential: LCPC
Location Address8819 COTTONGRASS STWaldorf, MD 20603-4942
Mailing Address8819 Cottongrass StWaldorf, MD 20603-4942 · (773) 510-1730
Phone(773) 510-1730
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 30, 2023
Last NPPES UpdateJune 1, 20232 updates tracked since enumeration
NPPES CertifiedJune 1, 2023
✔ NPI 1326743428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MD · LC13201
8819 COTTONGRASS ST, Waldorf, MD 20603
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Secondary Practice Location 1

Location 17450 Albert Rd Fl 2Brandywine, MD 20613-3035 · Phone (301) 888-2233 · Fax (301) 449-1489

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Manuel Antonio Ruiz Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789036997
PECOS Enrollment IDI20240123003185
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Manuel Ruiz's NPI number?

The NPI number for Manuel Ruiz is 1326743428. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Manuel Ruiz located?

Manuel Ruiz practices at 8819 Cottongrass St, Waldorf, MD 20603. The listed phone number is (773) 510-1730.

What is Manuel Ruiz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Manuel Ruiz enrolled in Medicare?

Yes. Manuel Ruiz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Manuel Ruiz was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.