NPIMap

Organization Active NPI

The Chrysalis Counseling Center

  • Professional Counselor
  • Moorestown, NJ
National Provider Identifier
1902405483
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
THE CHRYSALIS COUNSELING CENTER
Practice address
115 N Church St Ste 1
Moorestown, NJ 08057-2493
Phone
(609) 225-4885
NPI assigned
Oct 26, 2020
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Caitlin Archibald, MS, LPC, NCC, CCTPNPI 1932590726
Title
Owner
Phone
(732) 977-5889

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Professional Counselor 101YP2500X NU Primary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

115 N Church St Ste 1
Moorestown, NJ 08057-2493

Mailing address

115 N Church St Ste 1
Moorestown, NJ 08057-2493
Phone (609) 225-4885

National Provider Directory

National Provider Directory

Locations

115 N Church St
Ste 1
Moorestown, NJ 08057
Phone (609) 225-4885

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1902405483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N CHURCH ST STE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572493",
            "telephone_number": "609-225-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CHURCH ST STE 1",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572493",
            "telephone_number": "609-225-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHRYSALIS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-977-5889",
        "authorized_official_credential": "MS, LPC, NCC, CCTP"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.