Individual provider Active NPI

Chelsea Ann Chardavoyne, MHC-LP

  • Mental Health Counselor
  • Wantagh, NY
National Provider Identifier
1154128098
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P134155 Issued in NY
Practice address
212 Willowood Dr
Wantagh, NY 11793-1245
Phone
(631) 388-2186
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X P134155 NY Primary

Addresses

Primary practice location

212 Willowood Dr
Wantagh, NY 11793-1245

Mailing address

28 N Country Rd Ste 203
Mount Sinai, NY 11766-1518
Phone (888) 975-2256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P134155NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Calm Seas Psychotherapy, LCSW,PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

28 N Country Rd
Ste 203
Mount Sinai, NY 11766
Phone (631) 824-2256

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1154128098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 N COUNTRY RD STE 203",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117661518",
            "telephone_number": "888-975-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WILLOWOOD DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117931245",
            "telephone_number": "631-388-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARDAVOYNE",
        "first_name": "CHELSEA",
        "middle_name": "ANN",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P134155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.