Individual provider Active NPI

Ruslana Menasce

  • Counselor
  • Plainfield, IL
National Provider Identifier
1295112373
Registry record updated May 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
180011352 Issued in IL
Practice address
11914 Illinois Rte 59, Suite 134
Plainfield, IL 60585-5855
Phone
(815) 469-1500
NPI assigned
Apr 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 178.010794 IL
Counselor 101Y00000X 180011352 IL Primary

Addresses

Primary practice location

11914 Illinois Rte 59, Suite 134
Plainfield, IL 60585-5855

Mailing address

11914 Illinois Rte 59, Suite 134
Plainfield, IL 60585
Phone (630) 509-4911

Other identifiers 1

IdentifierTypeStateIssuer
180.011352OtherILLICENSED CLINICAL PROFESSIONAL COUNSELOR

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Naperville Direct

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

LicenseStateTypeSpecialty
180011352ILMDCounselor
178.010794ILMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Childrens Therapy PastSince May 8, 2022 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, 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": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1295112373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11914 ILLINOIS RTE 59, SUITE 134",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60585",
            "telephone_number": "630-509-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 ILLINOIS RTE 59, SUITE 134",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855855",
            "telephone_number": "815-469-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENASCE",
        "first_name": "RUSLANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "178.010794",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180011352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PROFESSIONAL COUNSELOR",
            "identifier": "180.011352",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Naperville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11914 Illinois Rte 59, Suite 134",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605855855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.