Active NPI
Ma Josephine Ruiz, MA ATR-BC LCPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1164641148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3533 S Archer Ave
2ND Floor
Chicago, IL 60609-1135 - Phone
- (773) 847-4417
- Fax
- (773) 847-4942
- NPI assigned
- Apr 25, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | IL | Primary |
Addresses
Primary practice location
3533 S Archer Ave
2ND Floor
Chicago, IL 60609-1135
Mailing address
4970 N Marine Dr
Apt # 126
Chicago, IL 60640-3968
Phone (312) 804-2241
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.005246 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164641148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4970 N MARINE DR",
"address_2": "APT # 126",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606403968",
"telephone_number": "312-804-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3533 S ARCHER AVE",
"address_2": "2ND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606091135",
"telephone_number": "773-847-4417",
"fax_number": "773-847-4942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "MA JOSEPHINE",
"name_prefix": "Ms.",
"credential": "MA ATR-BC LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": null,
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.