Organization Active NPI

Chrysalis Counseling, LLC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1346491511
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00003478 Issued in WA
Legal business name
CHRYSALIS COUNSELING, LLC
Practice address
2721 SW Trenton St
#46565
Seattle, WA 98126
Phone
(206) 473-2700
NPI assigned
Oct 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Authorized official

Name
Susan C. Mowrey, MA, LMHCNPI 1184856296
Title
President
Phone
(206) 473-2700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH00003478 WA Primary

Addresses

Primary practice location

2721 SW Trenton St
#46565
Seattle, WA 98126

Mailing address

PO Box 46565
Seattle, WA 98146-0565
Phone (206) 473-2700

National Provider Directory

National Provider Directory

Locations

2721 SW Trenton St
Unit 46565
Seattle, WA 98126

2721 SW Trenton St
#46565
Seattle, WA 98126
Phone (206) 473-2700

6000 Southcenter Blvd
Ste 18
Tukwila, WA 98188

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1346491511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46565",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981460565",
            "telephone_number": "206-473-2700",
            "fax_number": "877-376-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 SW TRENTON ST",
            "address_2": "#46565",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98126",
            "telephone_number": "206-473-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-04",
        "status": "A",
        "authorized_official_last_name": "MOWREY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-473-2700",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.