MIKA KONDO
NPI 1063165090
Social Worker - Clinical in Buffalo Grove, IL

Active since January 31, 2022Opted out of Medicare · through Mar 14, 2028
1207 MCHENRY RD STE 217B, BUFFALO GROVE, IL 60089(224) 676-9800 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mika Kondo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIKA KONDO (NPI 1063165090) is an individual clinical provider in Buffalo Grove, Illinois and active in the NPI registry since January 2022. She has opted out of Medicare through March 14, 2028.

NPPES Registry Identity

NPI1063165090
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIKA KONDO
Location Address1207 MCHENRY RD STE 217BBuffalo Grove, IL 60089-1371
Mailing Address1207 Mchenry Rd Ste 217bBuffalo Grove, IL 60089-1371 · (224) 676-9800
Sole ProprietorYes
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
NPI 1063165090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1207 MCHENRY RD STE 217B, Buffalo Grove, IL 60089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mika Kondo has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 14, 2024 through March 14, 2028.

Opt-Out Effective DateMarch 14, 2024
Opt-Out In Effect ThroughMarch 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
1207 MCHENRY RD STE 217B
BUFFALO GROVE, IL 60089
Counselor (Mental Health)
1207 MCHENRY RD STE 217B
BUFFALO GROVE, IL 60089
Social Worker
1207 MCHENRY RD STE 217B
BUFFALO GROVE, IL 60089
Social Worker (Clinical)
1207 MCHENRY RD STE 217B
BUFFALO GROVE, IL 60089
Social Worker
1207 MCHENRY RD STE 217B
BUFFALO GROVE, IL 60089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mika Kondo's NPI number?

The NPI number for Mika Kondo is 1063165090. It was assigned to this individual provider in the NPPES registry on January 31, 2022.

Where is Mika Kondo located?

Mika Kondo practices at 1207 Mchenry Rd Ste 217B, Buffalo Grove, IL 60089. The listed phone number is (224) 676-9800.

What is Mika Kondo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mika Kondo enrolled in Medicare?

No. Mika Kondo has opted out of Medicare through March 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mika Kondo was last updated on January 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.