Organization Active NPI

Gabriel Ruiz, LCPC, LLC

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1336384718
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180004827 Issued in IL
Legal business name
GABRIEL RUIZ, LCPC, LLC
Practice address
111 N Wabash Ave
Suite 1319
Chicago, IL 60602-1903
Phone
(312) 665-0053
Fax
(708) 231-7541
NPI assigned
Dec 12, 2008
Last updated
Dec 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Authorized official

Name
Mr. Gabriel Ruiz, LCPC
Title
Owner and Manager
Phone
(312) 665-0053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180004827 IL Primary

Addresses

Primary practice location

111 N Wabash Ave
Suite 1319
Chicago, IL 60602-1903

Mailing address

111 N Wabash Ave
Suite 1319
Chicago, IL 60602-1903
Phone (312) 665-0053

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 1319
Chicago, IL 60602
Phone (312) 665-0053

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1336384718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1319",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-665-0053",
            "fax_number": "708-231-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1319",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-665-0053",
            "fax_number": "708-231-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL RUIZ, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER AND MANAGER",
        "authorized_official_telephone_number": "312-665-0053",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004827",
            "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 Dec 12, 2008; 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.