Jill Choder-Goldman, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

070093 Issued in NY

Practice address

250 W 57TH St
501
New York, NY 10107-0001

Phone

(212) 582-0736

NPI assigned

Nov 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jill Choder Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2015 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1528464237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W 57TH ST",
            "address_2": "501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101070001",
            "telephone_number": "212-582-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 57TH ST",
            "address_2": "501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101070001",
            "telephone_number": "212-582-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHODER-GOLDMAN",
        "first_name": "JILL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "070093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "CHODER",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Young Chan Cho
• Young J. Cho, DPT
• Youngnan Jenny Cho, MD
• Yumi Cho, D.M.D.
• Kirsten Brill Chod, MOT, OTR/L
• Tashi Chodon, FNP-BC
• Meryl Chodosh-Weiss, L.M.S.W., L.C.S.W.
• Cecilia Choe, RN
• Christina Lauren Choe, MS CCC-SLP
• Cuini Choe, PMHNP, RN

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.