Chrysalis Institute, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHRYSALIS INSTITUTE, LLC

Practice address

800 NE 19TH St
Moore, OK 73160-6302

Phone

(405) 735-5263

Fax

(405) 735-5265

NPI assigned

Aug 6, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Bender, LPC

Title

President/Therapist

Phone

(405) 301-3983

Specialties & licenses 4

Addresses

Locations

Practitioners 1

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

• Michael R Hathcock, BS

  • Mental Health Counselor
  • Moore, OK
  • NPI 1407134315
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1265663363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NE 19TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606302",
            "telephone_number": "405-735-5263",
            "fax_number": "405-735-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NE 19TH ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731606302",
            "telephone_number": "405-735-5263",
            "fax_number": "405-735-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "405-301-3983",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Childrens Eecovery Center
• Wanda Ann Chiles, LCSW
• Chiropractic Arts Center of Moore
• Christian Counseling, PLLC (Gloria J. McCreary)
• Jace Carlton Christopher
• CK Parson Enterprises
• Jennifer L Clanton
• Alanna Clark, CCC-SLP
• Beverly Ann Clark, APRN-CNP
• Classen Family Practice LLC (Classen Family Medicine)

• Mental Health Counselor in Moore, OK
• Providers in Moore, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.