Individual provider Active NPI

Ruchika Jadav

  • Counselor
  • Frederick, MD
National Provider Identifier
1730764572
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LGP10976 Issued in MD
Practice address
21 Byte CT Ste G
Frederick, MD 21702-8724
Phone
(301) 846-7872
NPI assigned
Mar 12, 2021
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LGP10976 MD Primary

Addresses

Primary practice location

21 Byte CT Ste G
Frederick, MD 21702-8724

Mailing address

21 Byte CT Ste G
Frederick, MD 21702-8724
Phone (301) 846-7872

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
LGP10976MDMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life Change Therapy Now LLC CurrentSince Sep 9, 2022 Accepting new patients

Locations

21 Byte Ct
Ste G
Frederick, MD 21702
Phone (301) 846-7872

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": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1730764572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BYTE CT STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028724",
            "telephone_number": "301-846-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BYTE CT STE G",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217028724",
            "telephone_number": "301-846-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JADAV",
        "first_name": "RUCHIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP10976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.