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

Active since July 23, 2017PECOS EnrolledAccepts Medicare Assignment
1529 WILLIAMSBRIDGE RD, BRONX, NY 10461(718) 794-8464 Get Directions Write a Review

NPPES record last updated: July 23, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chauntel Chisolm reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
256 WASHINGTON ST
Mount Vernon, NY 10553
  • Reassigned Medicare billing, New York enrollment
  • 46 clinicians in this Medicare group
Psychologist
667 STONELEIGH AVE STE 202
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 296 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (School)
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461
Social Worker (Clinical)
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461
Social Worker (Clinical)
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461
Speech-Language Pathologist
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461
Nurse Practitioner (Psychiatric/Mental Health)
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461
Registered Nurse (General Practice)
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461
Psychologist (School)
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461
Specialist
1529 WILLIAMSBRIDGE RD
BRONX, NY 10461

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 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.

Where is Chauntel Chisolm located?

Chauntel Chisolm practices at 1529 Williamsbridge Rd, Bronx, NY 10461. The listed phone number is (718) 794-8464.

What is Chauntel Chisolm's specialty?

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

Is Chauntel Chisolm enrolled in Medicare?

Yes. Chauntel Chisolm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Chauntel Chisolm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chauntel Chisolm reassigns Medicare benefits to 2 organizations: The Guidance Center Of Westchester, Inc (Mount Vernon, NY) and Carmel Psychological Health, PC (Carmel, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Chauntel Chisolm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Chauntel Chisolm was last updated on July 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.