Individual provider Active NPI

Masuma Rasheed, PH.D.

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1659639813
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1244 W Ohio St Unit 2W
Chicago, IL 60642-6276
Phone
(312) 625-0366
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 64554 TX
Professional Counselor 101YP2500X 64554 TX
Psychoanalyst 102L00000X 64554 TX
Professional Counselor 101YP2500X IL Primary

Addresses

Primary practice location

1244 W Ohio St Unit 2W
Chicago, IL 60642-6276

Mailing address

1244 W Ohio St Unit 2W
Chicago, IL 60642-6276
Phone (312) 625-0366

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drmasuma@mindfullifechicago.com Direct

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
64554TXMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Life Counseling, LLC Professional CurrentSince Aug 2, 2020 Accepting new patients

Locations

205 N Michigan Ave
Ste 810
Chicago, IL 60601
Phone (312) 279-8628

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1659639813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 W OHIO ST UNIT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426276",
            "telephone_number": "312-625-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 W OHIO ST UNIT 2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606426276",
            "telephone_number": "312-625-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHEED",
        "first_name": "MASUMA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64554",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64554",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "TX",
            "license": "64554",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmasuma@mindfullifechicago.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1244 W Ohio St Unit 2W",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606426276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 20, 2020; 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.