Active NPI
Chrysalis Counseling
- Community/Behavioral Health Agency
- Boulder, CO
National Provider Identifier
1477792885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 154002
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.