Active NPI
Elan Chisolm
- Behavior Technician
- Seabrook, SC
National Provider Identifier
1508650938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 29 Robinson Hill CT
Seabrook, SC 29940-2714 - Phone
- (914) 625-1637
- NPI assigned
- Apr 9, 2025
- Last updated
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
29 Robinson Hill CT
Seabrook, SC 29940-2714
Mailing address
29 Robinson Hill CT
Seabrook, SC 29940-2714
Phone (914) 625-1637
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Low Country Behavior & Wellness Agents | Behavior Technician | Current | 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.
-
- Behavior Analyst
- Seabrook, SC
- NPI 1871207860
Behavior Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1508650938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 ROBINSON HILL CT",
"city": "SEABROOK",
"state": "SC",
"postal_code": "299402714",
"telephone_number": "914-625-1637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 ROBINSON HILL CT",
"city": "SEABROOK",
"state": "SC",
"postal_code": "299402714",
"telephone_number": "914-625-1637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISOLM",
"first_name": "ELAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seabrook, SC
- Beaufort Jasper Hampton Comprehensive Health Services, Inc. (Elijah Washington Medical Center)
- Beaufort-Jasper-Hampton Comprehensive Health Service Inc (BJHCHS Sheldon Pharmacy)
- Lauren Bethlehem Bella
- Deborah Cordelia Burr
- Cordelia Paradise LLC
- Erin Duncan, M.S., CCC-SLP
- Jeffrey Craig Gourdine, D.M.D.
- Olga Nicole Hamilton
- Barbara Laughlin Helms, M.ED.,CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.