Active NPI
Alexa Nicole Ruffino, LPC
- Mental Health Counselor
- Wheaton, IL
National Provider Identifier
1144984816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.016821
- Practice address
- 212 S Main St
Wheaton, IL 60187-5232 - Phone
- (630) 664-1449
- NPI assigned
- Oct 28, 2021
- Last updated
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.016821 | IL | Primary |
Addresses
Primary practice location
212 S Main St
Wheaton, IL 60187-5232
Mailing address
317 Stratford PL Apt 32
Bloomingdale, IL 60108-2386
Phone (630) 956-4975
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 |
|---|---|---|---|
| 178.016821 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wheaton Wellness Center, Inc. | Single Specialty | Current | Accepting new patients |
Locations
212 S Main St
Wheaton, IL 60187
Phone (630) 373-5232
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1144984816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 STRATFORD PL APT 32",
"city": "BLOOMINGDALE",
"state": "IL",
"postal_code": "601082386",
"telephone_number": "630-956-4975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S MAIN ST",
"city": "WHEATON",
"state": "IL",
"postal_code": "601875232",
"telephone_number": "630-664-1449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFINO",
"first_name": "ALEXA",
"middle_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.016821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.