Individual provider Active NPI

Rasa Ruzgys, CADC

  • Professional Counselor
  • Lockport, IL
National Provider Identifier
1629452958
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178.015479 Issued in IL
Practice address
16221 W 159TH St Ste 102
Lockport, IL 60441-7902
Phone
(847) 868-3435
Fax
(857) 859-5885
NPI assigned
Jul 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X 178.015479 IL Primary

Addresses

Primary practice location

16221 W 159TH St Ste 102
Lockport, IL 60441-7902

Mailing address

175 E Hawthorn Pkwy Ste 235
Vernon Hills, IL 60061-1454
Phone (478) 683-4358

Other practice location 1

9845 W Roosevelt Rd
Westchester, IL 60154-2758
Phone (708) 681-2325 ext. 5412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509003144 IL Practitioner - Mental Health Counselor 5698116549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Counseling Partners LLCGroup PAC ID 0749605830, 14 clinicians

Practice addresses (Care Compare)

715 Lake St
Suite 273
Oak Park, IL 60301-1411
Phone (773) 312-3612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178.015479ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. CurrentSince Jul 27, 2023 Accepting new patients
Innovative Counseling Partners LLC CurrentSince Mar 6, 2024 Accepting new patients

Locations

15 Spinning Wheel Rd
Ste 406
Hinsdale, IL 60521

16221 W 159th St
Ste 102
Lockport, IL 60441
Phone (331) 529-7699

715 Lake St
Ste 273
Oak Park, IL 60301
Phone (708) 848-3800

175 E Hawthorne Pkwy
Ste 235
Vernon Hills, IL 60061
Phone (847) 865-4125

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1629452958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HAWTHORN PKWY STE 235",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611454",
            "telephone_number": "478-683-4358",
            "fax_number": "857-859-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16221 W 159TH ST STE 102",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604417902",
            "telephone_number": "847-868-3435",
            "fax_number": "857-859-5885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9845 W Roosevelt Rd",
            "address_purpose": "LOCATION",
            "city": "Westchester",
            "state": "IL",
            "postal_code": "601542758",
            "country_code": "US",
            "telephone_number": "708-681-2325 x5412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUZGYS",
        "first_name": "RASA",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.015479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

Verify at the official NPI Registry.