NPIMap

Organization Active NPI

Chrysalis Consulting and Therapeutic Services, LLC

  • Mental Health Counselor
  • District Heights, MD
National Provider Identifier
1053066639
Registry record updated Feb 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHRYSALIS CONSULTING AND THERAPEUTIC SERVICES, LLC
Practice address
7107 Nimitz Dr
District Heights, MD 20747-3314
Phone
(240) 821-0539
NPI assigned
Feb 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Waltrina StancellNPI 1982852653
Title
Ceo/ Owner
Phone
(240) 821-0539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

7107 Nimitz Dr
District Heights, MD 20747-3314

Mailing address

7107 Nimitz Dr
District Heights, MD 20747-3314
Phone (240) 821-0539

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644710400000",
    "number": "1053066639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7107 NIMITZ DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473314",
            "telephone_number": "240-821-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 NIMITZ DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207473314",
            "telephone_number": "240-821-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS CONSULTING AND THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-13",
        "last_updated": "2022-02-13",
        "certification_date": "2022-02-13",
        "status": "A",
        "authorized_official_last_name": "STANCELL",
        "authorized_official_first_name": "WALTRINA",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "240-821-0539"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in District Heights, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.