Individual provider Active NPI

Kseniya Sokol

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1548970973
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
23294 Issued in FL
Practice address
22667 SW 64TH Way
Boca Raton, FL 33428-6004
Phone
(347) 822-6677
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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 23294 FL Primary

Addresses

Primary practice location

22667 SW 64TH Way
Boca Raton, FL 33428-6004

Mailing address

22667 SW 64TH Way
Boca Raton, FL 33428-6004
Phone (347) 822-6677

Other practice location 1

620 NW 13th St Apt 25
Boca Raton, FL 33486-2612
Phone (347) 822-6677

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

LicenseStateTypeSpecialty
23294FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1548970973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22667 SW 64TH WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286004",
            "telephone_number": "347-822-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22667 SW 64TH WAY",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334286004",
            "telephone_number": "347-822-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 NW 13th St Apt 25",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334862612",
            "country_code": "US",
            "telephone_number": "347-822-6677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOKOL",
        "first_name": "KSENIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "23294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.