NPIMap

Organization Active NPI

Chrysalis Counseling Group

  • Professional Counselor
  • Chicago, IL
National Provider Identifier
1407149693
Registry record updated May 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.007553 Issued in IL
Legal business name
CHRYSALIS COUNSELING GROUP
Practice address
3257 N Sheffield Ave
Suite 108
Chicago, IL 60657-2270
Phone
(773) 570-0088
Fax
(773) 404-5095
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2011

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

Authorized official

Name
Charles Burt, LCPCNPI 1972792604
Title
Principle
Phone
(773) 570-0088

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 180.007553 IL Primary

Addresses

Primary practice location

3257 N Sheffield Ave
Suite 108
Chicago, IL 60657-2270

Mailing address

3257 N Sheffield Ave
Suite 108
Chicago, IL 60657-2270
Phone (773) 570-0088

National Provider Directory

National Provider Directory

Locations

3257 N Sheffield Ave
Ste 108
Chicago, IL 60657
Phone (773) 570-0088

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": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1407149693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 N SHEFFIELD AVE",
            "address_2": "SUITE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572270",
            "telephone_number": "773-570-0088",
            "fax_number": "773-404-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 N SHEFFIELD AVE",
            "address_2": "SUITE 108",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572270",
            "telephone_number": "773-570-0088",
            "fax_number": "773-404-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "773-570-0088",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.007553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.