Active NPI
Nikki Renee Ruffin, LCPC
- Professional Counselor
- Aurora, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180005915
- Practice address
- 3205 Longwood LN
#209
Aurora, IL 60502-7163 - Phone
- (630) 800-1958
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 180005915 | IL | Primary |
Addresses
Primary practice location
3205 Longwood LN
#209
Aurora, IL 60502-7163
Mailing address
3205 Longwood LN
#209
Aurora, IL 60502-7163
Phone (630) 800-1958
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Dallas, TX 75373
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180005915 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Professional | Current | Accepting new patients |
| Sondermind PC | Professional | Current | Accepting new patients |
| Sondermind Provider Network LLC | Professional | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Professional | Current | Accepting new patients |
Locations
27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992
1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338
416 Main St
Ste 601
Peoria, IL 61602
Phone (309) 945-3305
333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002
Interoperability endpoints
- nikkiruffin@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1821235201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 LONGWOOD LN",
"address_2": "#209",
"city": "AURORA",
"state": "IL",
"postal_code": "605027163",
"telephone_number": "630-800-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3205 LONGWOOD LN",
"address_2": "#209",
"city": "AURORA",
"state": "IL",
"postal_code": "605027163",
"telephone_number": "630-800-1958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "NIKKI",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180005915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.