Active NPI
Chrysalis Care Inc
- Professional Counselor
- Austin, TX
National Provider Identifier
1164975025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16424
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Bowen, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Professional Counselor
- Lakeway, TX
- NPI 1477948503
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.