Individual provider Active NPI

Nazarena Cordero, LCAT

  • Counselor
  • West Palm Beach, FL
National Provider Identifier
1821395591
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
001352 Issued in NY
Practice address
5305 Greenwood Ave Ste 103
West Palm Beach, FL 33407-2448
Phone
(917) 573-8056
NPI assigned
Feb 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 001352-1 NY
Counselor 101Y00000X 001352 NY Primary

Addresses

Primary practice location

5305 Greenwood Ave Ste 103
West Palm Beach, FL 33407-2448

Mailing address

5305 Greenwood Ave Ste 103
West Palm Beach, FL 33407-2448
Phone (917) 573-8056

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
001352-1NYMDCounselor
001352NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Counseling Services LCSW, PLLC PastSince May 9, 2018 Accepting new patients

Organizations & group practices 1

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1821395591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072448",
            "telephone_number": "917-573-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GREENWOOD AVE STE 103",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072448",
            "telephone_number": "917-573-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "NAZARENA",
        "credential": "LCAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "001352-1",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "001352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.