Alina Michelle Kodatt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13518 Issued in FL

Practice address

7235 Bonneval Rd Ste 104
Jacksonville, FL 32256-7506

Phone

(904) 592-6800

NPI assigned

Aug 11, 2011

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1073892790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 W 69TH ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322083808",
            "telephone_number": "904-524-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 BONNEVAL RD STE 104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567506",
            "telephone_number": "904-592-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5776 Saint Augustine Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078030",
            "country_code": "US",
            "telephone_number": "904-448-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KODATT",
        "first_name": "ALINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Koch, PA-C
• Joni R Kocher, APRN
• Shivani Kochhar, MD
• Matthew Paul Kochuba, M.D.
• Madison Kocse, CCC-SLP
• David C Koehler, MD
• Karen Elizabeth Koehler, DDS MS
• Shirley M Koehler, PH.D.
• Susan Koehler, MD
• Crystal Chadderton Koenig, M.ED.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.