Tracy Chocholousek

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

85751 Issued in CA

Practice address

2921 McKillop Rd
Oakland, CA 94602-1504

Phone

(510) 301-2492

NPI assigned

Aug 4, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1023745437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 MCKILLOP RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021504",
            "telephone_number": "510-301-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 MCKILLOP RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946021504",
            "telephone_number": "510-301-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCHOLOUSEK",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "85751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tracychocholo@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2921 McKillop Rd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946021504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Irene Cho, PHARMD
• Jessica Sang Aa Cho, RN
• Maria H Cho, FNP-BC
• Sohyun Cho
• Won Hee Cho, DDS
• Jon J Chock, PHARMD
• Tenzin Jampa Chodon, NURSE PRACTITIONER
• David Choe, PHARMD
• Susie Y. Choe, MD
• Sonam Chodon Choegyel, NP

• Marriage & Family Therapist in Oakland, CA
• Providers in Oakland, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.