Individual provider Active NPI

Jessica Mascenic, LCPC, ATR-BC

  • Professional Counselor
  • Wood Dale, IL
National Provider Identifier
1609352087
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014211 Issued in IL
Practice address
432 N Cedar Ave
Wood Dale, IL 60191-1511
Phone
(630) 244-1780
NPI assigned
Jul 18, 2018
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 178011757 IL
Professional Counselor 101YP2500X 180014211 IL Primary

Addresses

Primary practice location

432 N Cedar Ave
Wood Dale, IL 60191-1511

Mailing address

432 N Cedar Ave
Wood Dale, IL 60191-1511
Phone (630) 244-1780

Other practice location 1

800 W Central Rd Ste 110
Mount Prospect, IL 60056-2383
Phone (630) 244-1780

Other identifiers 1

IdentifierTypeStateIssuer
1962696054OtherIL205702528

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

LicenseStateTypeSpecialty
178011757ILMDMental Health Counselor
180014211ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1609352087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 N CEDAR AVE",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911511",
            "telephone_number": "630-244-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 N CEDAR AVE",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911511",
            "telephone_number": "630-244-1780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Central Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Mount Prospect",
            "state": "IL",
            "postal_code": "600562383",
            "country_code": "US",
            "telephone_number": "630-244-1780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCENIC",
        "first_name": "JESSICA",
        "credential": "LCPC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178011757",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "205702528",
            "identifier": "1962696054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wood Dale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.