Active NPI
Nicholas Rudauskas, MA, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1841991734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.019127
- Practice address
- 118 N Clinton St Ste 440
Chicago, IL 60661-2392 - Phone
- (312) 324-4332
- NPI assigned
- Mar 16, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 178.019127 | IL | Primary |
Addresses
Primary practice location
118 N Clinton St Ste 440
Chicago, IL 60661-2392
Mailing address
5860 N Kenmore Ave Apt 207
Chicago, IL 60660-3724
Phone (773) 450-9720
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019127 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions Toward Optimal Health, PLLC | 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, 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": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1841991734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5860 N KENMORE AVE APT 207",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606603724",
"telephone_number": "773-450-9720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N CLINTON ST STE 440",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606612392",
"telephone_number": "312-324-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDAUSKAS",
"first_name": "NICHOLAS",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-03-16",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.