Agave Studio for Psychotherapy and Spiritual Direction
NPI 1093079212ActiveOrganization· Psychologist, Clinical· Chicago, IL
Psychologist, Clinical in Chicago, Illinois, registered in NPPES in July 2012. The authorized official on file is Janeil Irene Ruiz, PSY.D., Executive Director And Founder.
Overview
| NPI | 1093079212 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2012 |
| Last updated in NPPES | Jul 2, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071.008116 | IL |
| Counselor | 101Y00000X | — | — |
| Counselor, Pastoral | 101YP1600X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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