Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669029542 Individual Practitioner Female Practitioner

Ezza Melina Ahmad Mustaffa

Counselor - Professional • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Ezza Melina Ahmad Mustaffa is a registered healthcare professional specializing in Counselor - Professional in Chicago, IL. Practice services are available at 2045 W NORTH AVE STE 2B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2045 W North Ave Ste 2b

Chicago, IL 606475413

Telephone 7732492921
Associated Practice Facility / Clinic
🏢 Smetter Mental Health Pllc Facility NPI 1790578813

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
2437 Specialists

Practicing in Chicago, IL (9683 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-02-13
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180.015151

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License IL 178.014078

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Alison Levy , LPC, CADC

Counselor - Professional

NPI 1215789169

Licensed Professional Counselor, Certified Alcohol and Drug Counselor

NPI 1679059380

Licensed Clinical Professional Counselor

Michelle Labedz

Counselor - Mental Health

NPI 1760363345
Emily Bryan , LPC

Counselor - Mental Health

NPI 1801698220

Licensed Professional Counselor

Nicole Dodero , LPC

Counselor - Professional

NPI 1902519705

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 13, 2024

Registered at 2045 W NORTH AVE STE 2B, CHICAGO, IL 606475413 (Tel: 7732492921)

📍
Updated Business Mailing Address February 13, 2024

Registered at 878 N PAULINA ST APT 2, CHICAGO, IL 606225093 (Tel: 5158173828)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 13, 2024

Counselor (License #178.014078 in IL)

NPI Profile Active August 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2019

Registered at 1323 BUTTERFIELD RD STE 116, DOWNERS GROVE, IL 605155620 (Tel: 3313309955)

📍
Updated Business Mailing Address August 24, 2019

Registered at 878 N PAULINA ST APT 1, CHICAGO, IL 606225093 (Tel: 5158173828)

👤
Provider Name / Credentials Updated August 24, 2019

Recorded as EZZA MELINA AHMAD MUSTAFFA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2019

Counselor (License #178.014078 in IL)

🟢
Initial NPI Registration & Enumeration August 24, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ezza Melina Ahmad Mustaffa. Be the first to share your experience!

Sign in to leave a review for Ezza Melina Ahmad Mustaffa

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1669029542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2019
Last Update: February 13, 2024
Sole Proprietor: No

Mailing Address

878 N Paulina St Apt 2

Chicago, IL 606225093

Phone: 5158173828

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.