Individual provider Active NPI

Chelsea Irene Mazzulo, LMFT

  • Marriage & Family Therapist
  • Pass Christian, MS
National Provider Identifier
1487184339
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97658 Issued in CA
Practice address
300 Baywood Dr
Pass Christian, MS 39571-2114
Phone
(858) 775-9087
NPI assigned
Jun 14, 2017
Last updated
Aug 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 97658 CA Primary
Marriage & Family Therapist 106H00000X LMFT97658 CA
Marriage & Family Therapist 106H00000X T11519 MS

Addresses

Primary practice location

300 Baywood Dr
Pass Christian, MS 39571-2114

Mailing address

300 Baywood Dr
Pass Christian, MS 39571-2114
Phone (858) 775-9087

Other names 1

  • Chelsea Irene Mazzulo Former name

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
97658CAMDMarriage & Family Therapist
LMFT97658CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ease Counseling, LLC Marriage & Family Therapist PastSince Jan 19, 2025 Accepting new patients

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1487184339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BAYWOOD DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395712114",
            "telephone_number": "858-775-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BAYWOOD DR",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395712114",
            "telephone_number": "858-775-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZULO",
        "first_name": "CHELSEA",
        "middle_name": "IRENE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97658",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT97658",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T11519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "MAZZULO",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pass Christian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.