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KELLY CHISHOLM
NPI 1245474873
Counselor in Lubbock, TX

Active since April 27, 2009
2402 CANYON LAKE DR, LUBBOCK, TX 79415(806) 762-5782 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelly Chisholm NPPES

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

KELLY CHISHOLM (NPI 1245474873) is an individual counselor in Lubbock, Texas, licensed in Texas (33414) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1245474873
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKELLY CHISHOLM
Location Address2402 CANYON LAKE DRLubbock, TX 79415-2000
Mailing Address2402 Canyon Lake DrLubbock, TX 79415-2000
Phone(806) 762-5782
Sole ProprietorNo
Enumeration DateApril 27, 2009
✔ NPI 1245474873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in TX · 33414
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

2402 CANYON LAKE DR, Lubbock, TX 79415
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Other Providers at the Same Location NPPES 7

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

CANYON LAKES RTC
Counselor (Professional)
2402 CANYON LAKE DR
LUBBOCK, TX 79415
Lubbock County (806) 762-5782
MRS. JODIE LYNN MARTIN M.ED., LPC
Counselor (Professional)
2402 CANYON LAKE DR
LUBBOCK, TX 79415
Lubbock County (806) 762-5782
CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.
Residential Treatment Facility, Emotionally Disturbed Children
2402 CANYON LAKE DR
LUBBOCK, TX 79415
Lubbock County (806) 762-5782
DON JULIAN LENAU LPC
Counselor (Professional)
2402 CANYON LAKE DR
LUBBOCK, TX 79415
Lubbock County (806) 897-9735
STEPHANIE CHERIE POWELL LPC
Counselor (Professional)
2402 CANYON LAKE DR
LUBBOCK, TX 79415
Lubbock County (806) 897-9735
TRUDY JOY FRYE LPC
Counselor (Professional)
2402 CANYON LAKE DR
LUBBOCK, TX 79415
Lubbock County (806) 897-9735
CHILDREN'S HOPE RESIDENTIAL SERVICES, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2402 CANYON LAKE DR
LUBBOCK, TX 79415
Lubbock County (806) 897-9735

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 Kelly Chisholm's NPI number?

The NPI number for Kelly Chisholm is 1245474873. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Kelly Chisholm located?

Kelly Chisholm practices at 2402 Canyon Lake Dr, Lubbock, TX 79415. The listed phone number is (806) 762-5782.

What is Kelly Chisholm's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kelly Chisholm was last updated on April 27, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.