Individual provider Active NPI

Alexandra Chocron

  • Mental Health Counselor
  • Royal Palm Beach, FL
National Provider Identifier
1194269662
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH12340 Issued in FL
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
109601900MedicaidFL

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

LicenseStateTypeSpecialty
IMH12340FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Millenium Clinic of Dade Inc PastSince Jan 28, 2024 Accepting new patients
Soma Medical Center, PA PastSince Mar 1, 2021 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.

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.

Verify at the official NPI Registry.