Individual provider Active NPI

Ladwina Denice Rudolph-Galan, LCPC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1124727227
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180015025 Issued in IL
Practice address
2259 W Taylor St
Chicago, IL 60612-4233
Phone
(312) 285-2982
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180015025 IL Primary

Addresses

Primary practice location

2259 W Taylor St
Chicago, IL 60612-4233

Mailing address

88 Hemlock St
Park Forest, IL 60466-2154
Phone (773) 301-0138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Psychiatry LLCGroup PAC ID 0547687030, 2 clinicians

Practice addresses (Care Compare)

2259 W Taylor St
Chicago, IL 60612-4233
Phone (773) 517-8360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180015025ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Psychiatry LLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1124727227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 HEMLOCK ST",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604662154",
            "telephone_number": "773-301-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2259 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124233",
            "telephone_number": "312-285-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH-GALAN",
        "first_name": "LADWINA",
        "middle_name": "DENICE",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180015025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.