Individual provider Active NPI

Nikki Renee Ruffin, LCPC

  • Professional Counselor
  • Aurora, IL
National Provider Identifier
1821235201
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180005915 Issued in IL
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

Updated by the provider on Jan 7, 2009

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 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, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240726003730 CA Practitioner - Mental Health Counselor 1355887225 Reassigns benefits to 1 organization
I20240930002807 IL Practitioner - Mental Health Counselor 1355887225 Reassigns benefits to 2 organizations
I20251120000796 IN Practitioner - Mental Health Counselor 1355887225 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
180005915ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Aug 29, 2024 Accepting new patients
Sondermind PC Professional CurrentSince Oct 1, 2025 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Oct 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.