Individual provider Active NPI

Esther Elena Ruiz

  • Professional Counselor
  • Carpentersville, IL
National Provider Identifier
1174285035
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.013739 Issued in IL
Practice address
303 Anchor Dr
Carpentersville, IL 60110-2807
Phone
(847) 322-5607
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 180.013739 IL Primary

Addresses

Primary practice location

303 Anchor Dr
Carpentersville, IL 60110-2807

Mailing address

303 Anchor Dr
Carpentersville, IL 60110-2807
Phone (847) 322-5607

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111003018 IL Practitioner - Mental Health Counselor 4789035916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180.013739ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Clinical - Illinois CurrentSince Jan 1, 2024 Accepting new patients

Locations

3205 N Wilke Rd
Ste 103C
Arlington Heights, IL 60004
Phone (847) 767-4719

333 N Michigan Ave
Ste 1810
Chicago, IL 60601
Phone (217) 850-1133

2500 W Higgins Rd
Ste 935
Hoffman Estates, IL 60169
Phone (217) 850-1133

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": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1174285035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 ANCHOR DR",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102807",
            "telephone_number": "847-322-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 ANCHOR DR",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "601102807",
            "telephone_number": "847-322-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ESTHER",
        "middle_name": "ELENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.013739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carpentersville, IL

Sources for this page

Verify at the official NPI Registry.