LYVONNA VONSHELL CHISHOLM – Professional Counselor, NPI 1023501640

LYVONNA VONSHELL CHISHOLM is a healthcare provider. based in Savannah, Georgia. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. LPC010074 (GA). The NPI Number for LYVONNA VONSHELL CHISHOLM is 1023501640

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
LYVONNA VONSHELL CHISHOLM
NPI
1023501640
Phone
(912) 844-5629
Address
250 CROMER ST
Enumeration Date
8 June 2018
Last Update Date
10 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125271000
Graduation Year
2014 (12 years ago)
PAC ID
6901328483
Group Practice PAC ID
4789667015
Professional Enrollment ID
I20250314000306
Address ID
GA314012917SA106XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,201 MENTAL HEALTH COUNSELOR in GA

Provider Addresses for LYVONNA VONSHELL CHISHOLM

  • 250 CROMER ST

    SAVANNAH, GA 314074801

    Phone: (912) 844-5629

    Type: Mailing

  • 10 BELLADONA WAY

    SAVANNAH, GA 314196811

    Phone: (912) 844-5629

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250314000306IMental Health CounselorGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31407)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789667015View full group profile
NameSpecialtyState
Clinical Social WorkerGA
Nurse PractitionerGA
P O D I A T R YGA
Nurse PractitionerGA
Clinical Social WorkerGA
-GA
-GA
Family Practice, Geriatric MedicineCA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is LYVONNA VONSHELL CHISHOLM's NPI number?
LYVONNA VONSHELL CHISHOLM's NPI is 1023501640 — the number used across U.S. healthcare to identify this provider.
Is LYVONNA VONSHELL CHISHOLM shown as active in public data?
Registry records indicate LYVONNA VONSHELL CHISHOLM maintains an active NPI.
What kind of doctor is LYVONNA VONSHELL CHISHOLM?
LYVONNA VONSHELL CHISHOLM is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for LYVONNA VONSHELL CHISHOLM?
Travel planning: use Savannah, Georgia as the reference point for LYVONNA VONSHELL CHISHOLM, then confirm.
When was this NPI issued?
Enumeration for LYVONNA VONSHELL CHISHOLM is noted as June 8, 2018 where the registry provides it.

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