NPIMap

Organization Active NPI

Chrysalis Counseling and Consulting, LLC

  • Community/Behavioral Health Agency
  • Randallstown, MD
National Provider Identifier
1083357958
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRYSALIS COUNSELING AND CONSULTING, LLC
Practice address
3617 Waterwheel SQ
Randallstown, MD 21133-2619
Phone
(410) 929-0374
NPI assigned
Apr 18, 2022
Last updated
Apr 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Authorized official

Name
Brittany J Sothern, LCPC
Title
Owner and Psychotherapist
Phone
(410) 929-0374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3617 Waterwheel SQ
Randallstown, MD 21133-2619

Mailing address

3617 Waterwheel SQ
Randallstown, MD 21133-2619

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brittanysothern@chrysaliscac.com Direct Chrysalis Counseling and Consulting, LLC

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1083357958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 WATERWHEEL SQ",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 WATERWHEEL SQ",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332619",
            "telephone_number": "410-929-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "SOTHERN",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-929-0374",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittanysothern@chrysaliscac.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Chrysalis Counseling and Consulting, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3617 Waterwheel Sq",
            "city": "Randallstown",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211332619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.