Active NPI
Gina Ruane Prof Corp
- Clinical Social Worker
- Glen Ellyn, IL
National Provider Identifier
1013638873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- GINA RUANE PROF CORP
- Practice address
- 478 Pennsylvania Ave Ste 202
Glen Ellyn, IL 60137-4425 - Phone
- (630) 474-0540
- NPI assigned
- Sep 8, 2022
- Organization subpart
- Yes
- Parent organization
- GINA RUANE PROF CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gina Luciana Ruane, LCSW
- Title
- Therapist and Owner
- Phone
- (630) 815-9354
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
478 Pennsylvania Ave Ste 202
Glen Ellyn, IL 60137-4425
Mailing address
478 Pennsylvania Ave Ste 202
Glen Ellyn, IL 60137-4425
Phone (630) 474-0540
Other names 1
- Peace of Mind Counseling
National Provider Directory
National Provider Directory- Part of
- Gina Ruane Prof Corp
Locations
478 Pennsylvania Ave
Ste 202
Glen Ellyn, IL 60137
Phone (630) 474-0540
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Glen Ellyn, IL
- NPI 1164688503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662595200000",
"number": "1013638873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 PENNSYLVANIA AVE STE 202",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374425",
"telephone_number": "630-474-0540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "478 PENNSYLVANIA AVE STE 202",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601374425",
"telephone_number": "630-474-0540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GINA RUANE PROF CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GINA RUANE PROF CORP",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A",
"authorized_official_last_name": "RUANE",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "LUCIANA",
"authorized_official_title_or_position": "THERAPIST AND OWNER",
"authorized_official_telephone_number": "630-815-9354",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Peace of Mind Counseling",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.