Organization Active NPI

Chrysalis Counseling, P. C.

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1790997385
Registry record updated Oct 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2035 Issued in TX
Legal business name
CHRYSALIS COUNSELING, P. C.
Practice address
3609 Cedar Springs Rd
Dallas, TX 75219-4905
Phone
(214) 528-3007
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2009

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

Authorized official

Name
Dr. Carol McEwen Phelps, PH. D. LMFTNPI 1245249564
Title
Marriage and Family Therapist
Phone
(214) 528-3007

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2035 TX Primary

Addresses

Primary practice location

3609 Cedar Springs Rd
Dallas, TX 75219-4905

Mailing address

3609 Cedar Springs Rd
Dallas, TX 75219-4905
Phone (214) 528-3007

Other identifiers 1

IdentifierTypeStateIssuer
028556101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250501000952 ME Part B Supplier - Clinic/Group Practice 2961928015 Receives reassigned benefits from 1 practitioner
Practice locations: Old Orchard Beach, ME
O20250508000741 TX Part B Supplier - Clinic/Group Practice 2961928015 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

3609 Cedar Springs Rd
Dallas, TX 75219
Phone (214) 526-2000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1790997385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194905",
            "telephone_number": "214-528-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 CEDAR SPRINGS RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194905",
            "telephone_number": "214-528-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING, P. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MCEWEN",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "214-528-3007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D.   LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "2035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028556101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.