Ashley Rose Meczywor

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178017559 Issued in IL

Practice address

5340 N Clark St Ste 212
Chicago, IL 60640-2120

Phone

(312) 379-9476

Fax

(312) 263-1933

NPI assigned

May 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1578200440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 N CLARK ST STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402120",
            "telephone_number": "312-379-9476",
            "fax_number": "312-263-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 N CLARK ST STE 212",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402120",
            "telephone_number": "312-379-9476",
            "fax_number": "312-263-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 N Michigan Ave Ste 1830",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017407",
            "country_code": "US",
            "telephone_number": "312-379-9476",
            "fax_number": "312-262-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 W Berwyn Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606402109",
            "country_code": "US",
            "telephone_number": "312-379-9476",
            "fax_number": "312-263-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MECZYWOR",
        "first_name": "ASHLEY",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178017559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Anthony Meccia, PA-C
• Debra Marie Mecher, PA-C
• Ashesha Mechineni, MD, FACP
• Candice Elaine Meck, D.O.
• Mary Alice Meckes, LCSW
• Med MK LLC
• Med Products Corp
• Med Psyche LLC
• Med Spa of Mt Greenwood PLLC
• Med Staff on-Call

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.