Active NPI
Chrysalis Counseling and Consulting, Inc
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1437633542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- CHRYSALIS COUNSELING AND CONSULTING, INC
- Practice address
- 1525 E 53Rd St Ste 623
Chicago, IL 60615-4530 - Phone
- (708) 699-1600
- NPI assigned
- Sep 24, 2018
- Last updated
- Sep 24, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason E Montgomery, LCSW
- Title
- President/Ceo
- Phone
- (708) 699-1600
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1525 E 53Rd St Ste 623
Chicago, IL 60615-4530
Mailing address
6958 S King Dr
Chicago, IL 60637-4614
Phone (708) 699-1600
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Chicago, IL
- NPI 1831648666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1537747200000",
"number": "1437633542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6958 S KING DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606374614",
"telephone_number": "708-699-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 E 53RD ST STE 623",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606154530",
"telephone_number": "708-699-1600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRYSALIS COUNSELING AND CONSULTING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-24",
"last_updated": "2018-09-24",
"status": "A",
"authorized_official_last_name": "MONTGOMERY",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "708-699-1600",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Deanna J Chrones, MA, LPC, NCC, CH
- Christopher Paul Chroniak, PHD
- Karen Rambo Chroniak, PHD
- Chronic Care Solutions LLC
- Alison Casie Chruscinski, LCSW
- Chrysalis Counseling Group
- Chrysalis Counseling Group PLLC
- Chrysalis Health of Illinois P.C.
- Chrysalis Wellness and Consulting Group LLC
- Chrysalis, LLC (Crysalis LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.