Active NPI
Alexandra Chocron
- Mental Health Counselor
- Royal Palm Beach, FL
National Provider Identifier
1194269662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH12340
- Practice address
- 1402 Royal Palm Beach Blvd Ste 102
Royal Palm Beach, FL 33411-5001 - Phone
- (561) 629-7897
- NPI assigned
- Dec 18, 2016
- Last updated
- May 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH12340 | FL | Primary |
Addresses
Primary practice location
1402 Royal Palm Beach Blvd Ste 102
Royal Palm Beach, FL 33411-5001
Mailing address
1591 Presidential Way
Miami, FL 33179-6443
Phone (786) 286-9313
Other practice location 1
500 NW 165th St
Miami Gardens, FL 33169-6306
Phone (786) 657-2272
Other practice location 2
1301 N Federal Hwy
Lake Worth, FL 33460-1940
Phone (561) 758-5016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109601900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH12340 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Millenium Clinic of Dade Inc | Past | Accepting new patients | |
| Soma Medical Center, PA | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Miami, FL
- NPI 1730940131
-
dba Soma WellHealth
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Royal Palm Beach, FL
- NPI 1750988176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1482019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1194269662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1591 PRESIDENTIAL WAY",
"city": "MIAMI",
"state": "FL",
"postal_code": "331796443",
"telephone_number": "786-286-9313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 ROYAL PALM BEACH BLVD STE 102",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334115001",
"telephone_number": "561-629-7897"
}
],
"practiceLocations": [
{
"address_1": "500 NW 165th St",
"address_purpose": "LOCATION",
"city": "Miami Gardens",
"state": "FL",
"postal_code": "331696306",
"country_code": "US",
"telephone_number": "786-657-2272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 N Federal Hwy",
"address_purpose": "LOCATION",
"city": "Lake Worth",
"state": "FL",
"postal_code": "334601940",
"country_code": "US",
"telephone_number": "561-758-5016",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOCRON",
"first_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-18",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH12340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "109601900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Royal Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.