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LIJO CHACKO
NPI 1033065255
Counselor - Mental Health in Port Jefferson Station, NY

Active since March 09, 2026
650 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776(631) 430-3318 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lijo Chacko NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIJO CHACKO (NPI 1033065255) is an individual mental health provider in Port Jefferson Station, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1033065255
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameLIJO CHACKO
Location Address650 HALLOCK AVEPort Jefferson Station, NY 11776-1256
Mailing Address2954 Lawrence DrWantagh, NY 11793-1049
Phone(631) 430-3318
Sole ProprietorYes
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1033065255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
650 HALLOCK AVE, Port Jefferson Station, NY 11776
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISSA BROOKS LCSW
Social Worker
650 HALLOCK AVE
PORT JEFF STA, NY 11776
Suffolk County (631) 403-3318
MS. GRACEANN ELIZABETH BALDENKO
Counselor (Mental Health)
650 HALLOCK AVE
PORT JEFF STA, NY 11776
Suffolk County (631) 403-3318
MICHELLE CONELLI L.M.F.T., L.C.S.W.
Social Worker
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318
MS. TINA-LOUISE HANNEL
Counselor (Mental Health)
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318
MS. DANIELLE DOLORES OLIVERI
Counselor
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318
BRIANA TAYLOR LMSW
Social Worker
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 949-6133
AMANDA MAUREEN MCINERNEY LMHC
Counselor (Mental Health)
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318
MRS. COURTNEY DAYTON LMFT
Marriage & Family Therapist
650 HALLOCK AVE
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 403-3318

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lijo Chacko's NPI number?

The NPI number for Lijo Chacko is 1033065255. It was assigned to this individual provider in the NPPES registry on March 9, 2026.

Where is Lijo Chacko located?

Lijo Chacko practices at 650 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 430-3318.

What is Lijo Chacko's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lijo Chacko was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.