Chrysalis Counseling Florida LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHRYSALIS COUNSELING FLORIDA LLC

Practice address

2028 Brendla Rd
Clearwater, FL 33755-1309

Phone

(314) 780-8328

NPI assigned

Mar 14, 2024

Last updated

Mar 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Claudine Miller, LMHCNPI 1841587607

Title

Owner

Phone

(314) 780-8328

Specialties & licenses 2

Addresses

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.

• Claudine Miller, LPC, CRAADC, CCDP-D

  • Professional Counselor
  • Kirkwood, MO
  • NPI 1841587607
  Authorized official Same address or phone

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1679332563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 BRENDLA RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551309",
            "telephone_number": "314-780-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 BRENDLA RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337551309",
            "telephone_number": "314-780-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CLAUDINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-780-8328",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.