Individual provider Active NPI

Ruth Mills, MA, LCSW

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1336808070
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
149022771 Issued in IL
Practice address
1806 N Damen Ave
Chicago, IL 60647-5511
Phone
(773) 270-0469
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 149022771 IL Primary

Addresses

Primary practice location

1806 N Damen Ave
Chicago, IL 60647-5511

Mailing address

1806 N Damen Ave
Chicago, IL 60647-5511
Phone (773) 270-0469

Other practice location 1

2865 N Clybourn Ave Ste 1
Chicago, IL 60618-8270
Phone (773) 270-0469

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
149022771ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Individual and Family Connection, LLC CurrentSince Sep 5, 2023 Accepting new patients
Ifc Premier, Professional Limited Liability Company CurrentSince Sep 21, 2025 Accepting new patients

Locations

2865 N Clybourn Ave
Ste 1
Chicago, IL 60618
Phone (773) 270-0469

1806 N Damen Ave
Chicago, IL 60647
Phone (773) 270-0469

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1336808070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475511",
            "telephone_number": "773-270-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475511",
            "telephone_number": "773-270-0469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 N Clybourn Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606188270",
            "country_code": "US",
            "telephone_number": "773-270-0469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "RUTH",
        "credential": "MA, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "149022771",
            "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 Aug 24, 2023; 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.