MIRIAM CHOUKI (M.A.) – Mental Health Counselor, NPI 1306294400

MIRIAM CHOUKI (M.A.) is a healthcare provider. based in Worcester, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. The NPI Number for MIRIAM CHOUKI (M.A.) is 1306294400

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MIRIAM CHOUKI (M.A.)
NPI
1306294400
Phone
(508) 860-1049
Address
72 JAQUES AVE
Enumeration Date
30 May 2016
Last Update Date
7 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089287555500
Graduation Year
2016 (10 years ago)
PAC ID
9436596046
Group Practice PAC ID
4082050265
Professional Enrollment ID
I20240319001008
Address ID
MA015051928BO164XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

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Provider Addresses for MIRIAM CHOUKI (M.A.)

  • 72, Jaques Avenue, Piedmont, Worcester, Worcester County, Massachusetts, 01610-1135, United States

    WORCESTER, MA 016102476

    Phone: (508) 860-1049

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240319001008IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01610)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082050265View full group profile
NameSpecialtyState
Clinical Social WorkerNH
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA

Reviews

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Frequently asked questions

What NPI should I save for MIRIAM CHOUKI (M.A.)?
Save NPI 1306294400 if you need a stable reference for MIRIAM CHOUKI (M.A.).
Is MIRIAM CHOUKI (M.A.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MIRIAM CHOUKI (M.A.) work in?
You can think of MIRIAM CHOUKI (M.A.) as practicing within Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What location shows for MIRIAM CHOUKI (M.A.)?
We surface Worcester, Massachusetts for MIRIAM CHOUKI (M.A.) based on available NPPES addresses.
Is MIRIAM CHOUKI (M.A.) a real provider?
This page reflects official NPPES data for NPI 1306294400. Always confirm identity and privileges with the practice and licensing boards.

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