MISS LEAH RUTENBERG (LCPC) – Professional Counselor, NPI 1750556841

MISS LEAH RUTENBERG (LCPC) is a healthcare provider. based in Glen carbon, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. They hold a License No. 180008086 (IL). The NPI Number for MISS LEAH RUTENBERG (LCPC) is 1750556841

Main info

Female
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
MISS LEAH RUTENBERG (LCPC)
NPI
1750556841
Phone
(618) 710-4123
Address
9 JUNCTION DR W
Enumeration Date
29 April 2008
Last Update Date
16 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6187104123
Graduation Year
2006 (20 years ago)
PAC ID
1951679265
Group Practice PAC ID
8527190206
Professional Enrollment ID
I20240220001195
Address ID
IL620342931GL9XXXXWXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MISS LEAH RUTENBERG (LCPC)

  • Junction Drive, Glen Carbon, Madison County, Illinois, 62034, United States

    SUITE 3

    GLEN CARBON, IL 620342931

    Phone: (618) 710-4123

    Fax: (618) 731-4082

    Type: Location

  • PO BOX 98

    EDWARDSVILLE, IL 620250098

    Phone: (618) 710-4123

    Fax: (618) 731-4082

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240220001195IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527190206View full group profile
NameSpecialtyState
Mental Health CounselorIL
-IL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

How is MISS LEAH RUTENBERG (LCPC) identified in CMS data?
CMS-hosted NPPES data lists MISS LEAH RUTENBERG (LCPC) with NPI 1750556841.
Does CMS list MISS LEAH RUTENBERG (LCPC) as active?
Yes — MISS LEAH RUTENBERG (LCPC) is active in the NPI listing used on this page.
What is MISS LEAH RUTENBERG (LCPC) best known for clinically?
Directory data describes MISS LEAH RUTENBERG (LCPC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
Does MISS LEAH RUTENBERG (LCPC) list a practice location?
Patients near Glen Carbon, Illinois may find MISS LEAH RUTENBERG (LCPC) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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