Organization Active NPI

Chrysalis Counseling

  • Community/Behavioral Health Agency
  • Boulder, CO
National Provider Identifier
1477792885
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
154002 Issued in CO
Legal business name
CHRYSALIS COUNSELING
Practice address
1790 30TH St Ste 304
Boulder, CO 80301-1037
Phone
(303) 449-1566
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Authorized official

Name
Anjali Nandi
Title
Director
Phone
(303) 669-8047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 154002 CO Primary

Addresses

Primary practice location

1790 30TH St Ste 304
Boulder, CO 80301-1037

Mailing address

1790 30TH St Ste 304
Boulder, CO 80301-1037
Phone (303) 449-1566

Other names 1

  • Center for Change Doing business as

National Provider Directory

National Provider Directory

Locations

1790 30th St
Ste 304
Boulder, CO 80301
Phone (303) 449-1566

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1477792885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 30TH ST STE 304",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011037",
            "telephone_number": "303-449-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 30TH ST STE 304",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011037",
            "telephone_number": "303-449-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "NANDI",
        "authorized_official_first_name": "ANJALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-669-8047"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "154002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; 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.