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KHADIJA MANZOOR
NPI 1609544782
Counselor - Mental Health in Evanston, IL

Active since September 02, 2021PECOS Enrolled
501 DAVIS ST, EVANSTON, IL 60201(312) 815-9660 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khadija Manzoor NPPES

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

KHADIJA MANZOOR (NPI 1609544782) is an individual mental health provider in Evanston, Illinois, licensed in Illinois (500642) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609544782
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKHADIJA MANZOOR
Location Address501 DAVIS STEvanston, IL 60201-4619
Mailing Address5816 Lincoln AveMorton Grove, IL 60053-3344 · (312) 813-8842
Phone(312) 815-9660
Sole ProprietorNo
Enumeration DateSeptember 2, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1609544782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 500642
501 DAVIS ST, Evanston, IL 60201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khadija Manzoor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

CAITLIN REIFFMAN LSW
Social Worker
501 DAVIS ST
EVANSTON, IL 60201
Cook County (312) 815-9660
STEPHANIE NICOLE SUTHERLAND LSW
Social Worker
501 DAVIS ST
EVANSTON, IL 60201
Cook County (312) 546-4193
KIMBERLY OROZCO MD
Psychiatry & Neurology (Neurology)
501 DAVIS ST
EVANSTON, IL 60201
Cook County (312) 815-9660
KEVIN OCKRIM LSW
Social Worker (School)
501 DAVIS ST
EVANSTON, IL 60201
Cook County (312) 815-9660
MS. JENNIFER Y DRELLER MSW, LSW
Social Worker
501 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 280-0016
LAUREL MEIBORG LSW
Social Worker
501 DAVIS ST
EVANSTON, IL 60201
Cook County (312) 546-4193
MS. HANNAH LUMBERG PA-C
Physician Assistant
501 DAVIS ST
EVANSTON, IL 60201
Cook County (312) 815-9660
MAHNOOR AHSAN GHUMMAN MA
Counselor (Mental Health)
501 DAVIS ST
EVANSTON, IL 60201
Cook County (847) 558-1322

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 Khadija Manzoor's NPI number?

The NPI number for Khadija Manzoor is 1609544782. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Khadija Manzoor located?

Khadija Manzoor practices at 501 Davis St, Evanston, IL 60201. The listed phone number is (312) 815-9660.

What is Khadija Manzoor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Khadija Manzoor enrolled in Medicare?

Yes. Khadija Manzoor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khadija Manzoor was last updated on September 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.