GIOVANNI JAMES CHISHOLM
NPI 1144639329
Marriage & Family Therapist in San Leandro, CA

Q: What is Giovanni Chisholm's NPI number?

The NPI number for Giovanni Chisholm is 1144639329. It was assigned to this individual provider in the NPPES registry on August 12, 2014.

Q: What is Giovanni Chisholm's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Giovanni Chisholm was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since August 12, 2014PECOS EnrolledAccepts Medicare Assignment

2275 ARLINGTON DR, SAN LEANDRO, CA 94578(510) 317-1444 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2021, Oct 21, 2019, Mar 4, 2016 (3 updates tracked since 2016).

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About Giovanni James Chisholm NPPES

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

GIOVANNI JAMES CHISHOLM (NPI 1144639329) is an individual marriage & family therapist in San Leandro, California, licensed in California (114730) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1144639329

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameGIOVANNI JAMES CHISHOLM

Location Address2275 ARLINGTON DRSan Leandro, CA 94578-1132

Mailing Address2275 Arlington DrSan Leandro, CA 94578-1132 · (510) 317-1444

Phone(510) 317-1444

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 12, 2014

Last NPPES UpdateDecember 30, 20213 updates tracked since enumeration

✔ NPI 1144639329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 114730

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.

2275 ARLINGTON DR, San Leandro, CA 94578

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Giovanni James Chisholm is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365886074

PECOS Enrollment IDI20240221003491

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

ANUSHEH N WARDA

Counselor