Active NPI
Chrysalis Counseling, P. C.
- Marriage & Family Therapist
- Dallas, TX
National Provider Identifier
1790997385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 2035
- 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
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. LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028556101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, TX
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
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.