Active NPI
Spencer Rybacki
- Counselor
- Chicago, IL
National Provider Identifier
1114882677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 178.022607
- Practice address
- 2043 W Belmont Ave Ste 1
Chicago, IL 60618-6796 - Phone
- (312) 324-4502
- NPI assigned
- Dec 17, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 178.022607 | IL | Primary |
Addresses
Primary practice location
2043 W Belmont Ave Ste 1
Chicago, IL 60618-6796
Mailing address
1142 W Madison St Ste 302
Chicago, IL 60607-2191
Phone (312) 324-4502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.022607 | IL | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pure Health Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Professional Counselor
- Chicago, IL
- NPI 1821538752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1114882677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1142 W MADISON ST STE 302",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606072191",
"telephone_number": "312-324-4502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2043 W BELMONT AVE STE 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186796",
"telephone_number": "312-324-4502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYBACKI",
"first_name": "SPENCER",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-12-17",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IL",
"license": "178.022607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.