Healthcare Provider Details

I. General information

NPI: 1659203644
Provider Name (Legal Business Name): CHELSEA CALELLO MENTAL HEALTH COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3533 211TH ST
BAYSIDE NY
11361-2071
US

IV. Provider business mailing address

3533 211TH ST
BAYSIDE NY
11361-1526
US

V. Phone/Fax

Practice location:
  • Phone: 917-414-5161
  • Fax:
Mailing address:
  • Phone: 917-414-5161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. CHELSEA NOEL CALELLO
Title or Position: PSYCHOTHERAPIST
Credential: LMHC, LPC
Phone: 917-414-5161