MADISON CHISUM
NPI 1992675573
Counselor - Mental Health in Jacksonville, NC

Active since November 07, 2025
1703 COUNTRY CLUB RD STE 204, JACKSONVILLE, NC 28546(910) 347-3010 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Chisum NPPES

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

MADISON CHISUM (NPI 1992675573) is an individual mental health provider in Jacksonville, North Carolina, licensed in North Carolina (A22126) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1992675573
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMADISON CHISUM
Location Address1703 COUNTRY CLUB RD STE 204Jacksonville, NC 28546-6098
Mailing Address1703 Country Club Rd Ste 204Jacksonville, NC 28546-6098 · (910) 347-3010
Sole ProprietorNo
Enumeration DateNovember 7, 2025
NPPES CertifiedNovember 7, 2025
NPI 1992675573 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 NC · A22126
1703 COUNTRY CLUB RD STE 204, Jacksonville, NC 28546

Other Providers at the Same Location NPPES 11

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

Counselor (Professional)
1703 COUNTRY CLUB RD STE 204
JACKSONVILLE, NC 28546
Social Worker (Clinical)
1703 COUNTRY CLUB RD STE 204
JACKSONVILLE, NC 28546
Social Worker (Clinical)
1703 COUNTRY CLUB RD STE 204
JACKSONVILLE, NC 28546
Social Worker (Clinical)
1703 COUNTRY CLUB RD STE 204
JACKSONVILLE, NC 28546
Social Worker (Clinical)
1703 COUNTRY CLUB RD STE 204
JACKSONVILLE, NC 28546
Social Worker (Clinical)
1703 COUNTRY CLUB RD STE 204
JACKSONVILLE, NC 28546
Social Worker (Clinical)
1703 COUNTRY CLUB RD STE 204
JACKSONVILLE, NC 28546
Social Worker (Clinical)
1703 COUNTRY CLUB RD STE 204
JACKSONVILLE, NC 28546

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 Madison Chisum's NPI number?

The NPI number for Madison Chisum is 1992675573. It was assigned to this individual provider in the NPPES registry on November 7, 2025.

Where is Madison Chisum located?

Madison Chisum practices at 1703 Country Club Rd Ste 204, Jacksonville, NC 28546. The listed phone number is (910) 347-3010.

What is Madison Chisum's specialty?

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

When was this NPI record last updated?

The NPPES record for Madison Chisum was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.