Active NPI
Crisalida, Inc
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
National Provider Identifier
1841991353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- CRISALIDA, INC
- Practice address
- 4180 Center Park Dr
Colorado Springs, CO 80916-4505 - Phone
- (719) 418-9705
- NPI assigned
- Mar 13, 2023
- 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
- Glory McDaniel, LPC, LAC, MFTC
- Title
- Founder/Executive Director
- Phone
- (719) 698-8036
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Marriage & Family Therapist | 106H00000X |
Addresses
Primary practice location
4180 Center Park Dr
Colorado Springs, CO 80916-4505
Mailing address
4180 Center Park Dr
Colorado Springs, CO 80916-4505
Phone (720) 446-8701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000216266 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Crisalida Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Colorado Springs, CO
- NPI 1598634719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744243200000",
"number": "1841991353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4180 CENTER PARK DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809164505",
"telephone_number": "720-446-8701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4180 CENTER PARK DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809164505",
"telephone_number": "719-418-9705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRISALIDA, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-13",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "GLORY",
"authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "719-698-8036",
"authorized_official_credential": "LPC, LAC, MFTC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000216266",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.