Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHELLE L KLEKOTA-CHISHOLM MA, LMHC
NPI 1740438779
Counselor - Mental Health in Lakewood, WA

Active since September 03, 2008Opted out of Medicare · through Jan 1, 2028
5409 100TH ST SW, #98765, LAKEWOOD, WA 98496(253) 617-3559(253) 275-4275 Get Directions Write a Review

NPPES record last updated: October 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2018, Jan 6, 2017 (2 updates tracked since 2017).

About Michelle L Klekota-chisholm Ma, Lmhc NPPES

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

MICHELLE L KLEKOTA-CHISHOLM MA, LMHC (NPI 1740438779) is an individual mental health provider in Lakewood, Washington, licensed in Washington (LH 60231172) and active in the NPI registry since September 2008. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1740438779
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICHELLE L KLEKOTA-CHISHOLMCredential: MA, LMHC
Location Address5409 100TH ST SW, #98765Lakewood, WA 98496-8765
Mailing Address5409 100th St Sw, #98765Lakewood, WA 98496-8765 · (253) 985-5090 · Fax (253) 275-4275
Fax(253) 275-4275
Sole ProprietorNo
Enumeration DateSeptember 3, 2008
Last NPPES UpdateOctober 21, 20262 updates tracked since enumeration
NPPES CertifiedOctober 21, 2026
✔ NPI 1740438779 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 WA · LH 60231172
5409 100TH ST SW, Lakewood, WA 98496

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michelle L Klekota-chisholm Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Counselor (Mental Health)
5409 100TH ST SW, UNIT 98765
LAKEWOOD, WA 98496
Counselor (Mental Health)
5409 100TH ST SW, #98765
LAKEWOOD, WA 98496
Counselor (Mental Health)
5409 100TH ST SW, #98765
LAKEWOOD, WA 98496

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 Klekota-chisholm's NPI number?

The NPI number for Michelle Klekota-chisholm is 1740438779. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Michelle Klekota-chisholm located?

Michelle Klekota-chisholm practices at 5409 100th St SW #98765, Lakewood, WA 98496. The listed phone number is (253) 617-3559.

What is Michelle Klekota-chisholm's specialty?

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

Is Michelle Klekota-chisholm enrolled in Medicare?

No. Michelle Klekota-chisholm has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michelle Klekota-chisholm accept?

Health plans from Ambetter Health and Providence Health Plan list Michelle Klekota-chisholm 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 Michelle Klekota-chisholm was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.