Active NPI
Mesphina Kudowor, MA
- Professional Counselor
- Chicago, IL
National Provider Identifier
1023666120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.018661
- Practice address
- 3324 W North Ave
Chicago, IL 60647-4935 - Phone
- (773) 661-6657
- NPI assigned
- Sep 1, 2019
- Last updated
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.015525 | IL | |
| Professional Counselor | 101YP2500X | 180.018661 | IL | Primary |
Addresses
Primary practice location
3324 W North Ave
Chicago, IL 60647-4935
Mailing address
3324 W North Ave
Chicago, IL 60647-4935
Phone (773) 661-6657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.015525 | IL | MD | Mental Health Counselor |
| 180.018661 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1023666120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606474935",
"telephone_number": "773-661-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3324 W NORTH AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606474935",
"telephone_number": "773-661-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUDOWOR",
"first_name": "MESPHINA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-01",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.015525",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.018661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.