Individual provider Active NPI

Kayla Mason, LCSW

  • Clinical Social Worker
  • Evanston, IL
National Provider Identifier
1376967547
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.014648 Issued in IL
Practice address
1201 Fowler Ave
Evanston, IL 60202-1024
Phone
(847) 868-0146
NPI assigned
Feb 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.014648 IL Primary

Addresses

Primary practice location

1201 Fowler Ave
Evanston, IL 60202-1024

Mailing address

1201 Fowler Ave
Evanston, IL 60202-1024
Phone (847) 868-0146

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 31, 2019 through Oct 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.014648ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Well Journey Therapy PLLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

1509 Waukegan Rd
Glenview, IL 60025
Phone (224) 730-9420

Organizations & group practices 1

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": "1391904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1376967547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 FOWLER AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021024",
            "telephone_number": "847-868-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 FOWLER AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021024",
            "telephone_number": "847-868-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "KAYLA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.