Individual provider Active NPI

Chana Cohen, LCSW

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1316536188
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW17945
Practice address
115 W Woolbright Rd Ste B
Boynton Beach, FL 33435-5908
Phone
(561) 358-3703
NPI assigned
Jan 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 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 SW17945 Primary

Addresses

Primary practice location

115 W Woolbright Rd Ste B
Boynton Beach, FL 33435-5908

Mailing address

115 W Woolbright Rd Ste B
Boynton Beach, FL 33435-5908
Phone (561) 358-3703

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL chanacohen78@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220816002235 FL Practitioner - Clinical Social Worker 6204219785 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boca Raton Psychiatry, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822

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": "1610668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610668800000",
    "number": "1316536188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W WOOLBRIGHT RD STE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355908",
            "telephone_number": "561-358-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W WOOLBRIGHT RD STE B",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334355908",
            "telephone_number": "561-358-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "CHANA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "SW17945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "chanacohen78@yahoo.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "boynton beach",
            "address_1": "429 SW 7th Ave",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334355529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.