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KATHERINE JEANETTE CHISOM M.A.
NPI 1083904445
Marriage & Family Therapist in Terrace Park, OH

Active since April 19, 2011
220 HARVARD AVE, TERRACE PARK, OH 45174(949) 939-8885 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Katherine Jeanette Chisom M.a. NPPES

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

KATHERINE JEANETTE CHISOM M.A. (NPI 1083904445) is an individual marriage & family therapist in Terrace Park, Ohio, licensed in California (89473) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1083904445
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATHERINE JEANETTE CHISOMCredential: M.A.
Location Address220 HARVARD AVETerrace Park, OH 45174-1112
Mailing Address220 Harvard AveTerrace Park, OH 45174-1112 · (949) 939-8885
Phone(949) 939-8885
Sole ProprietorNo
Enumeration DateApril 19, 2011
Last NPPES UpdateMarch 12, 2026
NPPES CertifiedMarch 12, 2026
✔ NPI 1083904445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 89473✔ Licensed in OH · F.2500530
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 89473 (CA)
Also ListedHealth and Wellness CoachTaxonomy 171400000X · License 89473 (CA)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 89473 (CA)
220 HARVARD AVE, Terrace Park, OH 45174
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Other Names 1

Former Name (1)Katy Jeanette Chevalier M.a.

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 Katherine Chisom's NPI number?

The NPI number for Katherine Chisom is 1083904445. It was assigned to this individual provider in the NPPES registry on April 19, 2011. The provider is also known as Katy Jeanette Chevalier M.A..

Where is Katherine Chisom located?

Katherine Chisom practices at 220 Harvard Ave, Terrace Park, OH 45174. The listed phone number is (949) 939-8885.

What is Katherine Chisom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Katherine Chisom was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.