Ezza Melina Ahmad Mustaffa

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.015151 Issued in IL

Practice address

2045 W North Ave Ste 2B
Chicago, IL 60647-5413

Phone

(773) 249-2921

NPI assigned

Aug 24, 2019

Last updated

Feb 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 2, 2024 through Jan 2, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Compassionate Couch Chicago PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1841030913
  NPD Authorized official

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

{
    "created_epoch": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1669029542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "878 N PAULINA ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225093",
            "telephone_number": "515-817-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 W NORTH AVE STE 2B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475413",
            "telephone_number": "773-249-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMAD MUSTAFFA",
        "first_name": "EZZA MELINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.014078",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nalini Ahluwalia, MD
• Sonia Vikas Ahluwalia
• Yoglackshan K Ahluwalia, M.D.
• Ahmad Bastani MD
• Ahmad Elakil Medical Consulting P.C.
• Aamina Ahmad
• Aftab Ahmad, BME
• Ali Ahmad, PT, DPT, MHA
• Arhum Ahmad
• Ashraf Ahmad, D.D.S

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.