MISTY CALLANAN CHUNG MSW
NPI 1316114077
Counselor - Mental Health in Flint, MI

Q: What is Misty Chung's NPI number?

The NPI number for Misty Chung is 1316114077. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Q: What is Misty Chung's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Misty Chung was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 May 13, 2008PECOS Enrolled

422 W 4TH AVE, FLINT, MI 48503(810) 496-5773(810) 496-5798 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Misty Callanan Chung Msw NPPES

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

MISTY CALLANAN CHUNG MSW (NPI 1316114077) is an individual mental health provider in Flint, Michigan, licensed in Michigan (6802085369) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316114077

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMISTY CALLANAN CHUNGCredential: MSW

Location Address422 W 4TH AVEFlint, MI 48503-2404

Mailing Address422 W 4th AveFlint, MI 48503-2404 · (810) 496-5773 · Fax (810) 496-5798

Phone(810) 496-5773

Fax(810) 496-5798

Sole ProprietorNo

Enumeration DateMay 13, 2008

Last NPPES UpdateApril 8, 2015

✔ NPI 1316114077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MI · 6802085369

422 W 4TH AVE, Flint, MI 48503

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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 (PECOS)

Misty Callanan Chung Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

PAUL A MILLER

Health and Wellness Coach

422 W 4TH AVE
FLINT, MI 48503

Genesee County (810) 496-5500

KRYSTAL BUCKLER

Registered Nurse

422 W 4TH AVE
FLINT, MI 48503

Genesee County (810) 496-5500

STEPHANIE MARIE TOMPKINS

Registered Nurse

422 W 4TH AVE
FLINT, MI 48503

Genesee County (810) 691-3722

COUNTY OF GENESEE OFFICE OF CONTROLLER

Clinic/Center (Federally Qualified Health Center (FQHC))

422 W 4TH AVE
FLINT, MI 48503

Genesee County (810) 287-8144

KATHRYN GALLAGHER MSW, LMSW, ACSW

Social Worker (Clinical)

422 W 4TH AVE
FLINT, MI 48503

Genesee County (810) 257-3645

ROSEMARY ANN THOMAS

Nurse's Aide

422 W 4TH AVE
FLINT, MI 48503

Genesee County (810) 496-5500

EMMA BUIST

Peer Specialist

422 W 4TH AVE
FLINT, MI 48503

Genesee County (810) 496-5500

SHAWN EDWIN THORNTON

Health and Wellness Coach

422 W 4TH AVE
FLINT, MI 48503

Genesee County (810) 496-5500

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 Misty Chung's NPI number?

The NPI number for Misty Chung is 1316114077. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Misty Chung located?

Misty Chung practices at 422 W 4th Ave, Flint, MI 48503. The listed phone number is (810) 496-5773.

What is Misty Chung's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Misty Chung enrolled in Medicare?

Yes. Misty Chung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Misty Chung was last updated on April 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.