Chrysalis Counseling Centers

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002202 Issued in VA

Legal business name

CHRYSALIS COUNSELING CENTERS

Practice address

1100 Sunset LN
Suite 1310a
Culpeper, VA 22701-3378

Phone

(540) 727-0770

Fax

(540) 727-7310

NPI assigned

Mar 8, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Ann Stevenson, LCSW, PHD

Title

Ceo

Phone

(540) 727-0770

Specialties & licenses 1

Addresses

Other identifiers 18

Locations

Practitioners 5

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.

• Mary Beth Fisher

  • Nurse Practitioner
  • Fairfax, VA
  • NPI 1134144306
  NPD (past)
• Patricia A Gardner-Jackson, LCSW

  • Clinical Social Worker
  • Culpeper, VA
  • NPI 1194835694
  NPD (past)
• Elizabeth Ann Godwin - Stevenson, LCSW, PHD

  • Clinical Social Worker
  • Culpeper, VA
  • NPI 1396878187
  NPD (past)
• Dana R. Herr, LCSW

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1346341807
  NPD (past)
• Mark Fletcher Simonds, MD

  • Psychiatry Physician
  • Mission Hills, CA
  • NPI 1124244991
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386775401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SUNSET LN",
            "address_2": "SUITE 1310A",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013378",
            "telephone_number": "540-727-0770",
            "fax_number": "540-727-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SUNSET LN",
            "address_2": "SUITE 1310A",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013378",
            "telephone_number": "540-727-0770",
            "fax_number": "540-727-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEVENSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-727-0770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RESTON",
            "identifier": "176567",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "25740018",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RESTON",
            "identifier": "290799",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GAINESVILLE",
            "identifier": "141557",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "25740016",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RESTON",
            "identifier": "176568",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RESTON",
            "identifier": "180939",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RESTON",
            "identifier": "176565",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GAINESVILLE",
            "identifier": "180938",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "25740017",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RESTON",
            "identifier": "115052",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GAINESVILLE",
            "identifier": "141107",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GAINESVILLE",
            "identifier": "244776",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GAINESVILLE",
            "identifier": "115049",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CULPEPER",
            "identifier": "115774",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CULPEPER",
            "identifier": "172752",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM RESTON",
            "identifier": "192688",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GAINESVILLE",
            "identifier": "192690",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Children's Services of Virginia, Inc. (Crossroads Counseling Center)
• Benjamin Hayes Childress, RN
• Morton P Chiles, M.D.
• Catherine Bertorelli Christian
• Christina P Mills DDS LLC
• Connie M Chung, MD
• Bradley W. Church, O.D.
• Kelley Cianci
• Clancey Counseling, LLC
• Jamie Meredith Clancey, LCSW

• Clinical Social Worker in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.