Katherine Lynn Chisholm, PHD, MBA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC010880 Issued in PA

Practice address

6403 Forge Cir
Pennington, NJ 08534-4628

Phone

(856) 843-4348

NPI assigned

Jan 8, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1205309762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 FORGE CIR",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085344628",
            "telephone_number": "856-843-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 FORGE CIR",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085344628",
            "telephone_number": "856-843-4348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 S Bryn Mawr Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103216",
            "country_code": "US",
            "telephone_number": "856-843-4348",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Old West Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Havertown",
            "state": "PA",
            "postal_code": "190832712",
            "country_code": "US",
            "telephone_number": "484-454-8700 x1238",
            "fax_number": "484-454-8706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Strafford Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "PA",
            "postal_code": "190873340",
            "country_code": "US",
            "telephone_number": "856-843-4348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "KATHERINE",
        "middle_name": "LYNN",
        "credential": "PHD, MBA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01118500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0011729",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise S. Chalk, M.A., C.R.C., C.C.M
• So-Young Melissa Chang
• Jessica Chase, PA
• Chong Alex Chen, MEDICAL PHYSICIST
• Timothy H. Chen, M.D.
• Deborah Jill Chitester, MS CCC SLP
• Ankur Ushir Choksi, MD
• Donald Christmas, M.D.
• Jooyeun Chung, M.D
• Elizabeth R. Clarkson, CNM

• Professional Counselor in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.