MEDICARE: RUCHA B SHASTRI MA, LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	180.012262	IL

General Provider Information

NPI Number	:	1508384611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUCHA B SHASTRI MA, LCPC

Provider Business Mailing Address
First Line	:	1804 N NAPER BLVD STE 250
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-8830
Country	:	US
Telephone Number	:	630-791-5746
Fax Number	:	630-283-8841

Provider Business Practice Location Address
First Line	:	1804 N NAPER BLVD STE 250
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-8830
Country	:	US
Telephone Number	:	630-791-5746
Fax Number	:	630-283-8841

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/08/2017
Last Update Date	:	12/27/2023

Similar Medicare Providers

1366095333 — MR. GODWIN ROY ESQUILLO FLORES FNP-C
Practice Location Address:

1804 N NAPER BLVD
NAPERVILLE, IL
60563-8830

Practice Phone: 630-527-3645
Practice Fax:

1518951474 — DR. MARY P DEA DO
Practice Location Address:

1804 N NAPER BLVD , STE 103
NAPERVILLE, IL
60563-8830

Practice Phone: 630-646-6200
Practice Fax: 630-428-4188

1316227440 — HEATHER MICHELLE OLSSON MA, LCPC
Practice Location Address:

1804 N NAPER BLVD STE 250
NAPERVILLE, IL
60563-8830

Practice Phone: 630-791-5746
Practice Fax:

1205237104 — DR. JAMES M LEE DPT, DNP, CNP
Practice Location Address:

1804 N NAPER BLVD
NAPERVILLE, IL
60563-8830

Practice Phone: 630-527-3645
Practice Fax: 630-646-6504

1164959151 — KRISTIN ANNA NELSON MSW, LCSW
Practice Location Address:

1804 N NAPER BLVD STE 250
NAPERVILLE, IL
60563-8830

Practice Phone: 630-791-5746
Practice Fax: 630-283-8841

1750894952 — MATTHEW J TOMAN APN
Practice Location Address:

1804 N NAPER BLVD STE 250
NAPERVILLE, IL
60563-8830

Practice Phone: 630-332-2358
Practice Fax:

Directions to “ RUCHA B SHASTRI MA, LCPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.