Individual provider Active NPI

Kseniia Asefa

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1598402992
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2455 W Ohio St Unit 16W
Chicago, IL 60612-1260
Phone
(312) 292-8947
NPI assigned
May 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IL Primary

Addresses

Primary practice location

2455 W Ohio St Unit 16W
Chicago, IL 60612-1260

Mailing address

2455 W Ohio St Unit 16W
Chicago, IL 60612-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260304001630 IL Practitioner - Mental Health Counselor 8527540004 Reassigns benefits to 1 organization
I20260304002171 TX Practitioner - Mental Health Counselor 8527540004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2332 Galiano St
FL 2
Coral Gables, FL 33134-5402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sailor Health Medical PA Mental Health CurrentSince Feb 7, 2026 Accepting new patients

Locations

2340 S River Rd
Ste 231
Des Plaines, IL 60018

2323 S Voss Rd
Ste 203J
Houston, TX 77057

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1598402992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 W OHIO ST UNIT 16W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 W OHIO ST UNIT 16W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606121260",
            "telephone_number": "312-292-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASEFA",
        "first_name": "KSENIIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.