Individual provider Active NPI

Janet G Ruzich, MSW, LPC

  • Professional Counselor
  • Bloomingdale, IL
National Provider Identifier
1679769848
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178003596 Issued in IL
Practice address
148 S Bloomingdale Rd
Suite 112
Bloomingdale, IL 60108-1492
Phone
(630) 894-4451
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178003596 IL Primary

Addresses

Primary practice location

148 S Bloomingdale Rd
Suite 112
Bloomingdale, IL 60108-1492

Mailing address

148 S Bloomingdale Rd
Suite 112
Bloomingdale, IL 60108-1492
Phone (630) 894-4451

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
178003596ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Living International Professional Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1679769848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 S BLOOMINGDALE RD",
            "address_2": "SUITE 112",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081492",
            "telephone_number": "630-894-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 S BLOOMINGDALE RD",
            "address_2": "SUITE 112",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081492",
            "telephone_number": "630-894-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUZICH",
        "first_name": "JANET",
        "middle_name": "G",
        "credential": "MSW, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178003596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.