Active NPI
Iryna Shturba Arute, PSY.D.
- Professional Counselor
- Glen Ellyn, IL
National Provider Identifier
1649679150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009184
- Practice address
- 460 N Main St Ste 205
Glen Ellyn, IL 60137-5176 - Phone
- (864) 508-2323
- NPI assigned
- Aug 20, 2014
- Reactivated
- Sep 30, 2021
- Last updated
- Sep 30, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180.009184 | IL | Primary |
Addresses
Primary practice location
460 N Main St Ste 205
Glen Ellyn, IL 60137-5176
Mailing address
460 N Main St Ste 205
Glen Ellyn, IL 60137-5176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 6, 2024 through Mar 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180.009184 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mansio Center, Inc. | Professional | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632960000000",
"number": "1649679150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 N MAIN ST STE 205",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 N MAIN ST STE 205",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601375176",
"telephone_number": "864-508-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARUTE",
"first_name": "IRYNA",
"middle_name": "SHTURBA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2021-09-30",
"certification_date": "2021-09-30",
"deactivation_date": "2021-09-17",
"reactivation_date": "2021-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009184",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glen Ellyn, IL
- Katrina Marie Appiah, LCSW
- Jocelyn S Arackal, FNP,
- Arden Courts of Glen Ellyn Il LLC (Arden Courts of Glen Ellyn)
- Arroyo Hospice Inc
- David James Arute, LCPC
- Aspen Counseling Services, LTD.
- Marc A Asselmeier, M.D.
- Athletic & Therapeutic Institute of Naperville, LLC (ATI Physical Therapy)
- Audiologic Services, LTD.
- Xandra Yvette Avila, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.