THAD S RYDBERG MA, LCPC
NPI 1063716892
Counselor - Mental Health in Chicago, IL

Active since January 09, 2011PECOS Enrolled
3139 N LINCOLN AVE STE 203, CHICAGO, IL 60657(773) 726-3295 Get Directions Write a Review

NPPES record last updated: January 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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 and is a graduate of Other (2000).

NPPES Registry Identity

NPI1063716892
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHAD S RYDBERGCredential: MA, LCPC
Location Address3139 N LINCOLN AVE STE 203Chicago, IL 60657-3122
Mailing Address3139 N Lincoln Ave Ste 203Chicago, IL 60657-3122 · (773) 726-3295
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 9, 2011
NPI 1063716892 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 · 180005506
3139 N LINCOLN AVE STE 203, Chicago, IL 60657

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thad S Rydberg Ma, Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345756110
PECOS Enrollment IDI20250718002092
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Counselor (Professional)
3139 N LINCOLN AVE STE 203
CHICAGO, IL 60657
Counselor
3139 N LINCOLN AVE STE 203
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.

What insurance does Thad Rydberg accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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.