Individual provider Active NPI

Judith Ellen Ruff, MA LMFT

  • Marriage & Family Therapist
  • Springfield, IL
National Provider Identifier
1316048499
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
120 South 11TH St
Catholic Charities
Springfield, IL 62703
Phone
(217) 525-0500
Fax
(217) 525-0554
NPI assigned
Sep 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IL Primary

Addresses

Primary practice location

120 South 11TH St
Catholic Charities
Springfield, IL 62703

Mailing address

120 South 11TH St
Springfield, IL 62703
Phone (217) 525-0500

Other names 1

  • Judith Ellen Nesheim Former name

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

LicenseStateTypeSpecialty
166000150ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Sangamon Past Accepting new patients
Springfield Catholic Charities Past Accepting new patients

Organizations & group practices 2

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316048499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SOUTH 11TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62703",
            "telephone_number": "217-525-0500",
            "fax_number": "217-525-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SOUTH 11TH ST",
            "address_2": "CATHOLIC CHARITIES",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62703",
            "telephone_number": "217-525-0500",
            "fax_number": "217-525-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFF",
        "first_name": "JUDITH",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MA LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "NESHEIM",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, 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.

Verify at the official NPI Registry.