Individual provider Active NPI

Michelle Alane Masbaum, LCPC, ATR-BC, CDVP

  • Interpreter
  • Evanston, IL
National Provider Identifier
1639230618
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
Practice address
744 Hinman Ave Apt 2
Evanston, IL 60202-4446
Phone
(847) 745-3036
Fax
(847) 745-3096
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X 05-003 IL
Interpreter 171R00000X IL Primary
Professional Counselor 101YP2500X IL

Addresses

Primary practice location

744 Hinman Ave Apt 2
Evanston, IL 60202-4446

Mailing address

744 Hinman Ave Apt 2
Evanston, IL 60202-4446
Phone (847) 745-3036

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
180-003808ILMDProfessional Counselor
05-003ILMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639230618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 HINMAN AVE APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024446",
            "telephone_number": "847-745-3036",
            "fax_number": "847-745-3096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 HINMAN AVE APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024446",
            "telephone_number": "847-745-3036",
            "fax_number": "847-745-3096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASBAUM",
        "first_name": "MICHELLE",
        "middle_name": "ALANE",
        "name_prefix": "Ms.",
        "credential": "LCPC, ATR-BC, CDVP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "IL",
            "license": "05-003",
            "primary": false
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.