Active NPI
Florence P. Wright-Mason IX
- Addiction (Substance Use Disorder) Counselor
- Chicago, IL
National Provider Identifier
1235788282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 456
- Practice address
- 140 N Ashland Ave
Chicago, IL 60607-1802 - Phone
- (312) 633-4998
- Fax
- (312) 909-9095
- NPI assigned
- Sep 11, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 456 | IL | Primary |
Addresses
Primary practice location
140 N Ashland Ave
Chicago, IL 60607-1802
Mailing address
140 N Ashland Ave
Chicago, IL 60607-1802
Phone (312) 633-4998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363682166001 | Medicaid | IL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 456 | IL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1235788282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071802",
"telephone_number": "312-633-4998",
"fax_number": "312-909-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N ASHLAND AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071802",
"telephone_number": "312-633-4998",
"fax_number": "312-909-9095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT-MASON",
"first_name": "FLORENCE",
"middle_name": "P.",
"name_suffix": "IX",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-11",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "456",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363682166001",
"state": "IL"
}
],
"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 Sep 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.