Organization Active NPI

Gina Ruane Prof Corp

  • Clinical Social Worker
  • Glen Ellyn, IL
National Provider Identifier
1013638873
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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 CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gina Luciana Ruane, LCSWNPI 1164688503
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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

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.

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.

Verify at the official NPI Registry.