Individual provider Active NPI

Patricia Rueckheim, LCPC

  • Professional Counselor
  • Palos Heights, IL
National Provider Identifier
1891888319
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180002920 Issued in IL
Practice address
7330 W College Dr
Suite 210
Palos Heights, IL 60463-1157
Phone
(708) 364-7272
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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 180002920 IL Primary

Addresses

Primary practice location

7330 W College Dr
Suite 210
Palos Heights, IL 60463-1157

Mailing address

7330 W College Dr
Suite 202
Palos Heights, IL 60463-1157
Phone (708) 364-7272

Other names 1

  • Patricia Loftus Rueckheim Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240102003439 IL Practitioner - Mental Health Counselor 7517317613 Practice locations: Homer Glen, IL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14007 S Bell Rd
Suite 227
Homer Glen, IL 60491-8463
Phone (708) 364-7272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180002920ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palos Psychotherapy Associates, LLC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328486400000",
    "number": "1891888319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 W COLLEGE DR",
            "address_2": "SUITE 202",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631157",
            "telephone_number": "708-364-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 W COLLEGE DR",
            "address_2": "SUITE 210",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631157",
            "telephone_number": "708-364-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUECKHEIM",
        "first_name": "PATRICIA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180002920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "RUECKHEIM",
            "middle_name": "LOFTUS",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

Verify at the official NPI Registry.