Alexis Chocklette

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0704017500 Issued in VA

Practice address

370 Tanyard Rd
Rocky Mount, VA 24151-1554

Phone

(540) 488-5636

NPI assigned

Dec 6, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Youth Connect of Virginia, Inc.

  • Mental Health Counselor
  • Rocky Mount, VA
  • NPI 1972093987
  NPD (past)

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1225844004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241518104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 TANYARD RD",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511554",
            "telephone_number": "540-488-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCKLETTE",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0704017500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Caston
• Caleb Robert Chaney, DC
• Children'S Advocacy Programs of the Blue Ridge, Inc.
• Leshonika Childress
• Andrea Chinnici
• Christine E Barrett & Heathcliff Quioco PTR
• Christine E Barrett MD
• Elizabeth Christman, PA-C
• Claytor Clinic, Inc.
• Claytor Memorial Clinic

• All providers in Rocky Mount, VA
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.