Chrysalis Wellness LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CHRYSALIS WELLNESS LLC

Practice address

3863 S Campbell Ave Ste a
Springfield, MO 65807-5339

Phone

(417) 409-2486

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Kristina Weeks, LPC

Title

Owner/Therapist

Phone

(417) 409-2486

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1861024754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3863 S CAMPBELL AVE STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075339",
            "telephone_number": "417-409-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3863 S CAMPBELL AVE STE A",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075339",
            "telephone_number": "417-409-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "417-409-2486",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristy@chrysaliswellnesscoaching.com",
            "affiliation": "N",
            "address_1": "3863 S Campbell Ave Ste A",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658075339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Kaye Christiansen, PH.D., LP
• Stephen Denney Christiansen, M.D.
• Richard P Christy, MD
• Dalton L Chronister, PLPC
• Debby Chronister, SLP
• Alexis Chum, IBCLC
• Derek Shane Chung, DO
• Church Therapy Associates, LLC
• Charles Church, HIS
• Kay Ann Ciaccio, MS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Springfield, MO
• Providers in Springfield, MO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.