THAD S RYDBERG MA, LCPC
NPI 1063716892
Counselor - Mental Health in Chicago, IL
About Thad S Rydberg Ma, Lcpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THAD S RYDBERG MA, LCPC (NPI 1063716892) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180005506) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thad S Rydberg Ma, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Thad Rydberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60612
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Rush University Medical Group
- 2,169 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60657
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 Thad Rydberg's NPI number?
The NPI number for Thad Rydberg is 1063716892. It was assigned to this individual provider in the NPPES registry on January 9, 2011.
Where is Thad Rydberg located?
Thad Rydberg practices at 3139 N Lincoln Ave Ste 203, Chicago, IL 60657. The listed phone number is (773) 726-3295.
What is Thad Rydberg's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Thad Rydberg enrolled in Medicare?
Yes. Thad Rydberg is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Thad Rydberg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Thad Rydberg reassigns Medicare benefits to Rush University Medical Center (Chicago, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thad Rydberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Thad Rydberg accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Thad Rydberg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Thad Rydberg was last updated on January 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Thad S Rydberg, MA, LCPC · NPI 1063716892
Mental Health provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since January 9, 2011.
## Identity
- **NPI:** 1063716892 (Entity type: Individual)
- **Enumerated:** January 9, 2011
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 180005506 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3139 N LINCOLN AVE STE 203, Chicago, IL 60657-3122
- **Phone:** (773) 726-3295
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Rush University Medical Center (NPI 1184269425, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1063716892) · Data from the CMS NPPES public registry.