MEDICARE: EL CAFECITO COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1467283770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL CAFECITO COUNSELING, LLC

Provider Business Mailing Address
First Line	:	2020 N ACADEMY BLVD STE 337
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1567
Country	:	US
Telephone Number	:	719-399-3981
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 N ACADEMY BLVD STE 337
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1567
Country	:	US
Telephone Number	:	719-399-3981
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EDWIN RUIZ
Credential	:	LPC
Telephone Number	:	719-399-3981

Provider Enumeration Date	:	08/08/2024
Last Update Date	:	03/05/2026

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