Kayleen Ann Ruthberg, L.C.S.W.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

5045 W 47TH St
Chicago, IL 60638-2038

Phone

(773) 735-6773

Fax

(773) 735-6713

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1518158575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 BURLINGTON AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321715",
            "telephone_number": "630-963-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 W 47TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382038",
            "telephone_number": "773-735-6773",
            "fax_number": "773-735-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHBERG",
        "first_name": "KAYLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B;UE CROSS BLUE SHIELD",
            "identifier": "0021648806",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Bowhay, LCSW, PLLC
• Ruth M. Yanagi, M.D., S.C.
• Julia Ruth, FNP-C
• Elizabeth Rutha, PSY.D.
• Andrew D. Ruthberg, MD
• Henry Douglas Ruther, DMD
• Erin Rachel Rutherford, MSW
• Kay Rutherford, SLPA
• Leslee D Rutherford, D.D.S.
• Rhonda Rutherford

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.