Individual provider Active NPI

Chika Bosah, DHSC

  • Mental Health Counselor
  • Brockton, MA
National Provider Identifier
1700395548
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
10 Christy Dr
Brockton, MA 02301-1812
Phone
(508) 580-8700
NPI assigned
Sep 25, 2017
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LMHC10002468 MA
Mental Health Counselor 101YM0800X LMHC10002468 MA
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

10 Christy Dr
Brockton, MA 02301-1812

Mailing address

10 Christy Dr
Brockton, MA 02301-1812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260306002666 MA Practitioner - Mental Health Counselor 1658853734 Reassigns benefits to 3 organizations
I20260402002073 RI Practitioner - Mental Health Counselor 1658853734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11 Robert Toner Blvd
Suite 275
Attleboro Falls, MA 02763-1174
Phone (508) 846-3206

23 Sibley St
Providence, RI 02907-3226
Phone (508) 846-3206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC10002468MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CB Serenity Hub LLC Mental Health CurrentSince Jan 26, 2026 Accepting new patients

Locations

11 Robert Toner Blvd
Ste 275
North Attleboro, MA 02763
Phone (508) 846-3206

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1700395548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011812",
            "telephone_number": "508-580-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSAH",
        "first_name": "CHIKA",
        "name_prefix": "Dr.",
        "credential": "DHSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": "LMHC10002468",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10002468",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

Verify at the official NPI Registry.