Organization Active NPI

Chrysalis Care Inc

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1164975025
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16424 Issued in TX
Legal business name
CHRYSALIS CARE INC
Practice address
825 W 11TH St
Suite 1a
Austin, TX 78701-2009
Phone
(562) 388-3777
NPI assigned
Jul 27, 2016
Last updated
Jul 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Laura Bowen, LPCNPI 1477948503
Title
Owner
Phone
(562) 388-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16424 TX Primary

Addresses

Primary practice location

825 W 11TH St
Suite 1a
Austin, TX 78701-2009

Mailing address

825 W 11TH St
Suite 1a
Austin, TX 78701-2009

National Provider Directory

National Provider Directory

Locations

825 W 11th St
Ste 1A
Austin, TX 78701
Phone (512) 522-0299

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": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1164975025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W 11TH ST",
            "address_2": "SUITE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W 11TH ST",
            "address_2": "SUITE 1A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012009",
            "telephone_number": "562-388-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-388-3777",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.