Active NPI
Melissa Chisholm, M.S. COUNSELING
- School Counselor
- Worcester, MA
National Provider Identifier
1881050169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 54348604
- Practice address
- 81 Plantation St
Worcester, MA 01604-3069 - Phone
- (508) 849-5600
- NPI assigned
- Jan 3, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 54348604 | MA | Primary |
Addresses
Primary practice location
81 Plantation St
Worcester, MA 01604-3069
Mailing address
PO Box 995
Ashburnham, MA 01430-6995
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54348604 | MA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451779200000",
"number": "1881050169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 995",
"city": "ASHBURNHAM",
"state": "MA",
"postal_code": "014306995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 PLANTATION ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016043069",
"telephone_number": "508-849-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISHOLM",
"first_name": "MELISSA",
"credential": "M.S. COUNSELING",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-03",
"last_updated": "2016-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MA",
"license": "54348604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.