Active NPI
Beatrice Mirta Chodosh, LPC
- Professional Counselor
- Bridgeport, CT
National Provider Identifier
1497020929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 000436
- Practice address
- 2400 Main St
Bridgeport, CT 06606-5323 - Phone
- (203) 362-3912
- Fax
- (203) 362-2463
- NPI assigned
- Mar 16, 2012
- Last updated
- Mar 16, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 000436 | CT | Primary |
Addresses
Primary practice location
2400 Main St
Bridgeport, CT 06606-5323
Mailing address
2400 Main St
Bridgeport, CT 06606-5323
Phone (203) 362-3912
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000436 | CT | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1497020929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065323",
"telephone_number": "203-362-3912",
"fax_number": "203-362-2463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066065323",
"telephone_number": "203-362-3912",
"fax_number": "203-362-2463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHODOSH",
"first_name": "BEATRICE",
"middle_name": "MIRTA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-16",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "000436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.