KELLY CHISHOLM LPCC NPI 1346461852

NPI Information

NPI: 1346461852
Provider Name: KELLY CHISHOLM, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
8500 MENAUL BLVD NE STE B455
ALBUQUERQUE, NM
ZIP 87112
Phone: (505) 974-0104
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Kelly Chisholm, LPCC is a mental health counselor in Albuquerque, NM. Kelly Chisholm, LPCC NPI is 1346461852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8500 MENAUL BLVD NE STE B455
ALBUQUERQUE, NM
ZIP 87112-287
Phone: (505) 974-0104

The enumeration date for this NPI number is 5/1/2007 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0103091	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NM600403	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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