Individual provider Active NPI

Jacquolyn Marie Chicaguala, MHC

  • Mental Health Counselor
  • Yonkers, NY
National Provider Identifier
1497469233
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Jan 20, 2023

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 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

OrganizationSpecialtyStatusNew patients
Next Level Mental Health Counseling PLLC Mental Health CurrentSince Jan 15, 2023 Accepting new patients
Christine S Romano Mental Health Counseling PLLC Mental Health CurrentSince Jan 15, 2023 Accepting new patients
Wholeview Psychological Services, PLLC PastSince Dec 6, 2022 Accepting new patients
Wholeview Wellness, LLC PastSince May 16, 2021 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.

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.

Verify at the official NPI Registry.