Chrysalis Counseling Center, L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

130765-3501 Issued in UT

Legal business name

CHRYSALIS COUNSELING CENTER, L.L.C.

Practice address

7321 S State St
Suite B
Midvale, UT 84047-2055

Phone

(801) 808-9311

Fax

(801) 561-9311

NPI assigned

Apr 5, 2006

Organization subpart

No

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

Authorized official

Name

Kirk Ray Read, LCSWNPI 1922068352

Title

Owner/Director

Phone

(801) 808-9311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk Ray Read, L.C.S.W

  • Clinical Social Worker
  • Midvale, UT
  • NPI 1922068352

  Clinical

  NPD (past) Authorized official

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497717573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 S STATE ST",
            "address_2": "SUITE B",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472055",
            "telephone_number": "801-808-9311",
            "fax_number": "801-561-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 S STATE ST",
            "address_2": "SUITE B",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840472055",
            "telephone_number": "801-808-9311",
            "fax_number": "801-561-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "READ",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "801-808-9311",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "130765-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Place LLC
• Foston Yaeger Chivers, LMT
• Kristy Chow, PHARMD
• Johanna Isabel Christensen, LCSW
• Kristie Marie Christofferson, LCSW
• Payton Marie Cioffi
• Allison Grace Cirenza
• Caitlin Randi Clark, FNP
• Kynzie Clark
• Jeffrey W. Cline, MD

• All providers in Midvale, UT
• Clinical Social Worker in Utah

• 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.