1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Counselor
  6. NPI Profile

ETHAN RUCKER LPC
NPI 1013431683
Counselor - Mental Health in Chicago, IL

Active since July 26, 2017
4875 N PAULINA ST APT 2A, CHICAGO, IL 60640(904) 599-6248 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jul 26, 2017 (2 updates tracked since 2017).

About Ethan Rucker Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN RUCKER LPC (NPI 1013431683) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (178013109) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1013431683
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameETHAN RUCKERCredential: LPC
Location Address4875 N PAULINA ST APT 2AChicago, IL 60640-4176
Mailing Address4875 N Paulina St Apt 2aChicago, IL 60640-4176 · (904) 599-6248
Phone(904) 599-6248
Sole ProprietorNo
Enumeration DateJuly 26, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1013431683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 178013109
4875 N PAULINA ST APT 2A, Chicago, IL 60640
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Rucker's NPI number?

The NPI number for Ethan Rucker is 1013431683. It was assigned to this individual provider in the NPPES registry on July 26, 2017.

Where is Ethan Rucker located?

Ethan Rucker practices at 4875 N Paulina St Apt 2A, Chicago, IL 60640. The listed phone number is (904) 599-6248.

What is Ethan Rucker's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ethan Rucker was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.