WANDA CHISOLM LMHC, CASAC
NPI 1629422639
Counselor - Mental Health in East Islip, NY

Q: What is Wanda Chisolm's NPI number?

The NPI number for Wanda Chisolm is 1629422639. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Q: What is Wanda Chisolm'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 Wanda Chisolm was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 15, 2016

107 EAST MAIN STREET, EAST ISLIP, NY 11730(631) 666-1615 Get Directions Write a Review

NPPES record last updated: April 16, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Wanda Chisolm Lmhc, Casac NPPES

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

WANDA CHISOLM LMHC, CASAC (NPI 1629422639) is an individual mental health provider in East Islip, New York, licensed in New York (007206) and active in the NPI registry since April 2016. She maintains a secondary practice location in Bay Shore.

NPPES Registry Identity

NPI1629422639

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameWANDA CHISOLMCredential: LMHC, CASAC

Location Address107 EAST MAIN STREETEast Islip, NY 11730

Mailing AddressPo Box 1062Bay Shore, NY 11706-0534 · (917) 618-0081

Phone(631) 666-1615

Sole ProprietorYes

Enumeration DateApril 15, 2016

Last NPPES UpdateApril 16, 2019

✔ NPI 1629422639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 007206

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 23644 (NY)

107 EAST MAIN STREET, East Islip, NY 11730

Open in Google Maps ↗

Secondary Practice Location 1

Location 1268 Delaware AveBay Shore, NY 11706-3345 · Phone (631) 328-1303

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Oscar Health Maintenance Organization of Florida, Providence Health Plan and more.Insurance ›

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 Wanda Chisolm's NPI number?

The NPI number for Wanda Chisolm is 1629422639. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Wanda Chisolm located?

Wanda Chisolm practices at 107 East Main Street, East Islip, NY 11730. The listed phone number is (631) 666-1615.

What is Wanda Chisolm's specialty?

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

What insurance does Wanda Chisolm accept?

Health plans from CareSource, Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Wanda Chisolm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wanda Chisolm was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.