CHAUNTEL MONIQUE CHISOLM LMFT - NPI 1184147084 - Marriage & Family Therapist in Bronx, NY

Q: What is Chauntel Chisolm's NPI number?

The NPI number for Chauntel Chisolm is 1184147084. It was assigned to this individual provider in the NPPES registry on July 23, 2017.

Q: What is Chauntel Chisolm'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 Chauntel Chisolm was last updated on July 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Chauntel Monique Chisolm Lmft NPPES

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

CHAUNTEL MONIQUE CHISOLM LMFT (NPI 1184147084) is an individual marriage & family therapist in Bronx, New York, licensed in New York (001290) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184147084

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameCHAUNTEL MONIQUE CHISOLMCredential: LMFT

Location Address1529 WILLIAMSBRIDGE RDBronx, NY 10461-2502

Mailing Address1519 Metropolitan AveBronx, NY 10462-6170 · (718) 664-0478

Phone(718) 794-8464

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 23, 2017

✔ NPI 1184147084 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 NY · 001290

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.

1529 WILLIAMSBRIDGE RD, Bronx, NY 10461

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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

Chauntel Monique Chisolm Lmft 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 ID4587007471

PECOS Enrollment IDI20240207003607

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 8

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

JASSY L RAMIREZ MS

Specialist