Individual provider Active NPI

Amina Riaz Choudhery, ASW, MSW

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1275959660
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80654 Issued in CA
Practice address
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone
(213) 381-2931
NPI assigned
Mar 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 80654 CA Primary

Addresses

Primary practice location

155 N Occidental Blvd
Los Angeles, CA 90026-4641

Mailing address

155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone (213) 381-2931

Other practice location 1

390 40th St
Oakland, CA 94609-2633
Phone (510) 653-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220117000662 CA Practitioner - Clinical Social Worker 7315339751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80654CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Apr 24, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Apr 24, 2022 Accepting new patients

Locations

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275959660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N OCCIDENTAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264641",
            "telephone_number": "213-381-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N OCCIDENTAL BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264641",
            "telephone_number": "213-381-2931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 40th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946092633",
            "country_code": "US",
            "telephone_number": "510-653-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOUDHERY",
        "first_name": "AMINA",
        "middle_name": "RIAZ",
        "credential": "ASW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "80654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.