Individual provider Active NPI

Mansi Nikhil Mehta

  • Clinical Social Worker
  • Orland Park, IL
National Provider Identifier
1073182184
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149029256 Issued in IL
Practice address
1800 Ravinia PL
Orland Park, IL 60462-3761
Phone
(708) 403-7570
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X 149029256 IL Primary

Addresses

Primary practice location

1800 Ravinia PL
Orland Park, IL 60462-3761

Mailing address

1050 W George St Apt 309
Chicago, IL 60657-4374
Phone (832) 433-8342

Other practice location 1

1000 Skokie Blvd Ste 250
Wilmette, IL 60091-1167
Phone (847) 201-4278

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
I20260507004219 IL Practitioner - Clinical Social Worker 6709354715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emotion Management Program LLCGroup PAC ID 8628171360, 5 clinicians

Practice addresses (Care Compare)

1800 Ravinia PL
Orland Park, IL 60462-3761
Phone (708) 403-7570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149029256ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Emotion Management Program LLC CurrentSince Feb 2, 2025 Accepting new patients
Mindful Mattering PLLC Clinical CurrentSince Nov 9, 2025 Accepting new patients

Locations

1800 Ravinia Pl
Orland Park, IL 60462
Phone (708) 403-7570

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1073182184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W GEORGE ST APT 309",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606574374",
            "telephone_number": "832-433-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RAVINIA PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623761",
            "telephone_number": "708-403-7570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Skokie Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Wilmette",
            "state": "IL",
            "postal_code": "600911167",
            "country_code": "US",
            "telephone_number": "847-201-4278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHTA",
        "first_name": "MANSI",
        "middle_name": "NIKHIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149029256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.