Provider Demographics
NPI:1457720484
Name:CHOJNACKI, CHELSEA (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:CHOJNACKI
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2941 N GALE ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46218-2950
Mailing Address - Country:US
Mailing Address - Phone:317-893-6992
Mailing Address - Fax:
Practice Address - Street 1:2941 N GALE ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46218-2950
Practice Address - Country:US
Practice Address - Phone:317-893-6992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-21
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003113A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300067012Medicaid