Individual provider Active NPI

Sophia Mohsen

  • Student in an Organized Health Care Education/Training Program
  • Chicago, IL
National Provider Identifier
1609791821
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1811 W North Ave Ste 402
Chicago, IL 60622-0204
Phone
(312) 819-7381
NPI assigned
Aug 13, 2026
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X IL Primary

Addresses

Primary practice location

1811 W North Ave Ste 402
Chicago, IL 60622-0204

Mailing address

155 N Michigan Ave Ste 707
Chicago, IL 60601-7706
Phone (312) 819-7381

Other practice location 1

3047 N Lincoln Ave
Chicago, IL 60657-4999
Phone (312) 819-7381

Other practice location 2

155 N Michigan Ave Ste 707
Chicago, IL 60601-7706
Phone (312) 819-7381

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Therapy Chicago, PLLC PastSince Mar 20, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1609791821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N MICHIGAN AVE STE 707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606017706",
            "telephone_number": "312-819-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 W NORTH AVE STE 402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606220204",
            "telephone_number": "312-819-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3047 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606574999",
            "country_code": "US",
            "telephone_number": "312-819-7381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 N Michigan Ave Ste 707",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017706",
            "country_code": "US",
            "telephone_number": "312-819-7381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHSEN",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 18, 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.