Wanda Chisolm, LMHC, CASAC
NPI 1629422639 · Mental Health Counselor · East Islip, NY
Wanda Chisolm, LMHC, CASAC is a Mental Health Counselor provider in East Islip, NY (NPI 1629422639).
Provider details
- NPI number
- 1629422639
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC, CASAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23644 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 268 Delaware AveBay Shore, NY 11706-3345Phone: (631) 328-1303
Registry dates
- Enumerated
- 2016-04-15
- Last updated
- 2019-04-16
Frequently asked questions
- What is Wanda Chisolm's NPI number?
- Wanda Chisolm's National Provider Identifier (NPI) is 1629422639, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wanda Chisolm's specialty?
- Wanda Chisolm is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Wanda Chisolm located?
- Wanda Chisolm's practice location on file with NPPES is 107 East Main Street, East Islip, NY 11730.
- What is Wanda Chisolm's phone number?
- The practice phone number listed in the NPPES registry for Wanda Chisolm is (631) 666-1615.
- Is Wanda Chisolm's NPI active?
- Yes — Wanda Chisolm's NPI (1629422639) is active in the NPPES registry as of the last update on 2019-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.