Active NPI
Aisha L Chaudhry, LMHC, LPC
- Mental Health Counselor
- Cocoa, FL
National Provider Identifier
1629773585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21960
- Practice address
- 6864 Columbine Dr
Cocoa, FL 32927-4714 - Phone
- (321) 252-2241
- NPI assigned
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 89072 | TX | |
| Mental Health Counselor | 101YM0800X | MH21960 | FL | Primary |
Addresses
Primary practice location
6864 Columbine Dr
Cocoa, FL 32927-4714
Mailing address
6864 Columbine Dr
Cocoa, FL 32927-4714
Phone (321) 252-2241
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 |
|---|---|---|---|
| MH21960 | FL | MD | Mental Health Counselor |
| 89072 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manara Wellness, LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Orlando, FL
- NPI 1730041906
-
- Professional Counselor
- Orlando, FL
- NPI 1447133426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680220800000",
"number": "1629773585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6864 COLUMBINE DR",
"city": "COCOA",
"state": "FL",
"postal_code": "329274714",
"telephone_number": "321-252-2241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6864 COLUMBINE DR",
"city": "COCOA",
"state": "FL",
"postal_code": "329274714",
"telephone_number": "321-252-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAUDHRY",
"first_name": "AISHA",
"middle_name": "L",
"credential": "LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-31",
"last_updated": "2023-03-31",
"certification_date": "2023-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "89072",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cocoa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.