Active NPI
Janet G Ruzich, MSW, LPC
- Professional Counselor
- Bloomingdale, IL
National Provider Identifier
1679769848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178003596
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 178003596 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Professional Counselor
- Bloomingdale, IL
- NPI 1518180892
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.