JACQUE RUCH LCSW, LTD. (NPI# 1760885255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760885255 |
| Entity Type | Organization |
| Organization Name | JACQUE RUCH LCSW, LTD. |
| Practice Address |
6975 Redansa Dr Rockford IL 61108-1201 |
| Mailing Address |
4635 Bedfordshire Dr Loves Park IL 61111-4481 |
| Practice Telephone | 8153987000 |
| Practice Fax Number | 8153950671 |
| Mailing Telephone | 8152438332 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | JACQUELYN J RUCH (OWNER) |
| Authorized Official Telephone | 8152438332 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 149015073 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI | 1407129471 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265970180 | Jacque Ruch Lcsw, Ltd. | Psychologist | 650 N Main St, Rockford, IL 61103-6921 | 2017-02-11 |
| Street Address |
6975 REDANSA DR |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366450629 | Leonard Pink | Counselor | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2006-08-03 |
| 1548875628 | Janice S Benedict Pllc | Clinic/Center | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2020-09-15 |
| 1588049274 | Jason Soriano, Psy.d., P.C. | Community/Behavioral Health | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2015-07-23 |
| 1639301211 | Cynthia Antoinett Brander | Psychologist | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2009-08-17 |
| 1801072046 | Peggy Derango | Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2008-01-17 |
| 1073609426 | James M Viggiano | Psychologist | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2006-10-05 |
| 1790793198 | Leon Black | Counselor | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2006-08-03 |
| 1053329391 | Marie Epling | Counselor | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2006-08-03 |
| 1811905102 | Brian Klaung | Counselor | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174062996 | Denise Purvis Billing Services | Community/Behavioral Health | 5301 E State St Ste 301, Rockford, IL 61108-2399 | 2017-02-13 |
| 1104284587 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 401 W State St, Rockford, IL 61101-1248 | 2016-02-01 |
| 1497187827 | Stephanie Calato Counseling | Community/Behavioral Health | 3504 Wind Point Dr, Rockford, IL 61108-3721 | 2013-08-08 |
| 1619118304 | Martin Luther King Jr. Community Service Area Project | Community/Behavioral Health | 555 N Court St Ste 204, Rockford, IL 61103-6898 | 2009-03-10 |
| 1962652339 | Children's Home and Aid | Community/Behavioral Health | 424 7th St, Rockford, IL 61104 | 2008-09-23 |
| 1376707190 | Changes Place | Community/Behavioral Health | 258 N Phelps Ave, Rockford, IL 61108-2433 | 2008-07-10 |
| 1891978912 | James Frederick Trewhella | Community/Behavioral Health | 7270 Russet Trl Ne, Rockford, MI 49341-8343 | 2007-12-12 |
| 1023643780 | Carey Counseling | Community/Behavioral Health | 5301 E State St Ste 202, Rockford, IL 61108-2392 | 2020-03-03 |
| 1083168496 | Treatment Alternatives for Safe Communities | Community/Behavioral Health | 401 W State St, Rockford, IL 61101-1248 | 2016-08-15 |
| 1588049274 | Jason Soriano, Psy.d., P.C. | Community/Behavioral Health | 6975 Redansa Dr, Rockford, IL 61108-1201 | 2015-07-23 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.