Active NPI
Jacquolyn Marie Chicaguala, MHC
- Mental Health Counselor
- Yonkers, NY
National Provider Identifier
1497469233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 55 Main St FL 3
Yonkers, NY 10701-2739 - Phone
- (914) 327-5588
- NPI assigned
- Jan 6, 2023
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
55 Main St FL 3
Yonkers, NY 10701-2739
Mailing address
564 81St St
Brooklyn, NY 11209-4013
Phone (347) 701-7339
Other practice location 1
564 81st St
Brooklyn, NY 11209-4013
Phone (347) 701-7339
Other practice location 2
369 Lexington Ave Rm 14A
New York, NY 10017-6526
Phone (212) 204-8430
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Next Level Mental Health Counseling PLLC | Mental Health | Current | Accepting new patients |
| Christine S Romano Mental Health Counseling PLLC | Mental Health | Current | Accepting new patients |
| Wholeview Psychological Services, PLLC | Past | Accepting new patients | |
| Wholeview Wellness, LLC | Past | Accepting new patients |
Locations
55 Main St
Fl 3
Yonkers, NY 10701
Phone (914) 327-5585
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Yonkers, NY
- NPI 1912479163
-
- Mental Health Counselor
- Yonkers, NY
- NPI 1275202913
-
- Clinical Psychologist
- New York, NY
- NPI 1740990183
-
- Substance Use Disorder Rehabilitation Clinic/Center
- New York, NY
- NPI 1811571532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1497469233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 81ST ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112094013",
"telephone_number": "347-701-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAIN ST FL 3",
"city": "YONKERS",
"state": "NY",
"postal_code": "107012739",
"telephone_number": "914-327-5588"
}
],
"practiceLocations": [
{
"address_1": "564 81st St",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112094013",
"country_code": "US",
"telephone_number": "347-701-7339",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "369 Lexington Ave Rm 14A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100176526",
"country_code": "US",
"telephone_number": "212-204-8430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHICAGUALA",
"first_name": "JACQUOLYN",
"middle_name": "MARIE",
"credential": "MHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.