Individual provider Active NPI

Leah Jean Rybakowski, LCPC

  • Professional Counselor
  • Galesburg, IL
National Provider Identifier
1427534684
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.014532 Issued in IL
Practice address
4237 Sycamore BND
Galesburg, IL 61401-9525
Phone
(847) 894-7146
NPI assigned
Jul 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178.014020 IL
Professional Counselor 101YP2500X 180.014532 IL Primary

Addresses

Primary practice location

4237 Sycamore BND
Galesburg, IL 61401-9525

Mailing address

4237 Sycamore BND
Galesburg, IL 61401-9525
Phone (847) 894-7146

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
178.014020ILMDMental Health Counselor
180.014532ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1427534684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 SYCAMORE BND",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614019525",
            "telephone_number": "847-894-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 SYCAMORE BND",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614019525",
            "telephone_number": "847-894-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYBAKOWSKI",
        "first_name": "LEAH",
        "middle_name": "JEAN",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-11",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.014020",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.