Chrysalis Counseling Services PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH 00011082 Issued in WA

Legal business name

CHRYSALIS COUNSELING SERVICES PLLC

Practice address

144 Railroad Ave Ste 205C
Edmonds, WA 98020-4121

Phone

(206) 604-0996

NPI assigned

May 27, 2014

Organization subpart

No

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

Authorized official

Name

Juliana K Tyler, MA, LMHC, NCCNPI 1194929968

Title

Business Owner/Licensed Mental Heal

Phone

(206) 604-0996

Specialties & licenses 1

Addresses

Other names 1

• Juliana K. Tyler Doing business as

Locations

Practitioners 1

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

• Juliana K. Tyler, MA, LMHC, NCC

  • Mental Health Counselor
  • Edmonds, WA
  • NPI 1194929968

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1184036097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1604",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982757804",
            "telephone_number": "206-604-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 RAILROAD AVE STE 205C",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980204121",
            "telephone_number": "206-604-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BUSINESS OWNER/LICENSED MENTAL HEAL",
        "authorized_official_telephone_number": "206-604-0996",
        "authorized_official_credential": "MA, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 00011082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Juliana K. Tyler",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Juliana K. Tyler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Edmonds, WA
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; 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.