Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lijo Chacko

Individual provider Mental Health Counselor · NPI 1033065255

Lijo Chacko is a Mental Health Counselor in Port Jefferson Station, New York. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

650 Hallock Ave
Port Jefferson Station, NY 11776-1256
Phone: (631) 430-3318
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1033065255
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026

Other providers in Port Jefferson Station