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MICHELLE M CHISHOLM SUDP
NPI 1285101360
Counselor - Addiction (Substance Use Disorder) in Chehalis, WA

Active since October 26, 2018
500 SE WASHINGTON AVE, CHEHALIS, WA 98532(360) 748-4774 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2022, Oct 26, 2018 (2 updates tracked since 2018).

About Michelle M Chisholm Sudp NPPES

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

MICHELLE M CHISHOLM SUDP (NPI 1285101360) is an individual addiction (substance use disorder) provider in Chehalis, Washington, licensed in Washington (CP60114318) and active in the NPI registry since October 2018. She maintains a secondary practice location in Longview.

NPPES Registry Identity

NPI1285101360
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMICHELLE M CHISHOLMCredential: SUDP
Location Address500 SE WASHINGTON AVEChehalis, WA 98532-3058
Mailing Address500 Se Washington AveChehalis, WA 98532-3058 · (360) 748-4776
Phone(360) 748-4774
Sole ProprietorNo
Enumeration DateOctober 26, 2018
Last NPPES UpdateMay 11, 20222 updates tracked since enumeration
NPPES CertifiedMay 11, 2022
✔ NPI 1285101360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60114318
500 SE WASHINGTON AVE, Chehalis, WA 98532
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Secondary Practice Location 1

Location 1748 14th AveLongview, WA 98632-2315 · Phone (360) 200-5419 · Fax (360) 200-6736

Other Identifiers 1

Medicaid2172951WA

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.

JOSIE A RYAN CNA
Nurse's Aide
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
CARLOS R HUGHES RN
Registered Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
JENNIFER LYNN EINMAN RN
Registered Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
MELVERN PATRICK O'BRIEN RN
Registered Nurse (Addiction (Substance Use Disorder))
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (509) 232-6755
MICHELLE N LIEN RN
Registered Nurse (Addiction (Substance Use Disorder))
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
KALOB K RAHN LPN
Nurse Practitioner
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 748-4776
RHONDA LYNN CAINES LPN
Licensed Practical Nurse
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (509) 232-5766
BRIANNA LEEANN FUENTES
Counselor
500 SE WASHINGTON AVE
CHEHALIS, WA 98532
Lewis County (360) 507-8032

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 Chisholm's NPI number?

The NPI number for Michelle Chisholm is 1285101360. It was assigned to this individual provider in the NPPES registry on October 26, 2018.

Where is Michelle Chisholm located?

Michelle Chisholm practices at 500 SE Washington Ave, Chehalis, WA 98532. The listed phone number is (360) 748-4774.

What is Michelle Chisholm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michelle Chisholm was last updated on May 11, 2022. 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.