Individual provider Active NPI

Jamie Chamochumbi, LMHC

  • Mental Health Counselor
  • Brooklyn, NY
National Provider Identifier
1245633791
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006170-1 Issued in NY
Practice address
25 Chapel St Ste 901
Brooklyn, NY 11201-1916
Phone
(718) 398-0153
Fax
(718) 623-2531
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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 006170-1 NY Primary

Addresses

Primary practice location

25 Chapel St Ste 901
Brooklyn, NY 11201-1916

Mailing address

25 Chapel St Ste 901
Brooklyn, NY 11201-1916
Phone (718) 398-0153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240228002865 NY Practitioner - Mental Health Counselor 5395180483 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006170-1NYMDMental Health Counselor
006170NYMDPsychologist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477958400000",
    "number": "1245633791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011916",
            "telephone_number": "718-398-0153",
            "fax_number": "718-623-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST STE 901",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011916",
            "telephone_number": "718-398-0153",
            "fax_number": "718-623-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMOCHUMBI",
        "first_name": "JAMIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2016-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006170-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.