MICHELLE ELIZABETH CHISUM
NPI 1124914502
Day Training/Habilitation Specialist in Marina, CA

Active since June 13, 2025
3043 MACARTHUR DR, MARINA, CA 93933(831) 649-4522 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2025, Jun 13, 2025 (2 updates tracked since 2025).

About Michelle Elizabeth Chisum NPPES

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

MICHELLE ELIZABETH CHISUM (NPI 1124914502) is an individual day training/habilitation specialist in Marina, California and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1124914502
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameMICHELLE ELIZABETH CHISUM
Location Address3043 MACARTHUR DRMarina, CA 93933-4763
Mailing Address3043 Macarthur DrMarina, CA 93933-4763 · (831) 649-4522
Sole ProprietorNo
Enumeration DateJune 13, 2025
Last NPPES UpdateOctober 8, 20252 updates tracked since enumeration
NPPES CertifiedOctober 8, 2025
NPI 1124914502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity Health WorkerTaxonomy 172V00000X
3043 MACARTHUR DR, Marina, CA 93933

Other Providers at the Same Location NPPES 14

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

Case Manager/Care Coordinator
3043 MACARTHUR DR
MARINA, CA 93933
Case Manager/Care Coordinator
3043 MACARTHUR DR
MARINA, CA 93933
Community/Behavioral Health
3043 MACARTHUR DR
MARINA, CA 93933
Marriage & Family Therapist
3043 MACARTHUR DR
MARINA, CA 93933
Community Health Worker
3043 MACARTHUR DR
MARINA, CA 93933
Peer Specialist
3043 MACARTHUR DR
MARINA, CA 93933
Counselor (Addiction (Substance Use Disorder))
3043 MACARTHUR DR
MARINA, CA 93933
Counselor (Addiction (Substance Use Disorder))
3043 MACARTHUR DR
MARINA, CA 93933

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 Michelle Chisum's NPI number?

The NPI number for Michelle Chisum is 1124914502. It was assigned to this individual provider in the NPPES registry on June 13, 2025.

Where is Michelle Chisum located?

Michelle Chisum practices at 3043 Macarthur Dr, Marina, CA 93933. The listed phone number is (831) 649-4522.

What is Michelle Chisum's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Michelle Chisum was last updated on October 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.