Individual provider Active NPI

Araba A Kuofie, PHD

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1053090340
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20043725A Issued in IN
Practice address
1125 W Van Buren St Apt 1511
Chicago, IL 60607-0051
Phone
(816) 686-7536
NPI assigned
Jul 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20043725A IN Primary
Clinical Psychologist 103TC0700X 071011039 IL

Addresses

Primary practice location

1125 W Van Buren St Apt 1511
Chicago, IL 60607-0051

Mailing address

1125 W Van Buren St Apt 1511
Chicago, IL 60607-0051
Phone (816) 686-7536

Other practice location 1

4822 S Cottage Grove Ave 4th Fl
Chicago, IL 60615
Phone (312) 695-5060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003003334 IL Practitioner - Clinical Psychologist 0244736551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwestern Medical Faculty FoundationGroup PAC ID 4587576814, 4,386 clinicians

Practice addresses (Care Compare)

4822 S Cottage Grove Ave
Suite 4 200
Chicago, IL 60615-1614
Phone (312) 926-3627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071011039ILMDClinical Psychologist
20043725AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Oct 1, 2025 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 1, 2025 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

4822 S Cottage Grove Ave
Ste 4200
Chicago, IL 60615

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1053090340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W VAN BUREN ST APT 1511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606070051",
            "telephone_number": "816-686-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W VAN BUREN ST APT 1511",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606070051",
            "telephone_number": "816-686-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4822 S Cottage Grove Ave 4th Fl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60615",
            "country_code": "US",
            "telephone_number": "312-695-5060",
            "fax_number": "312-921-1381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUOFIE",
        "first_name": "ARABA",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043725A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071011039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.