Chrysalis Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0012445 Issued in CO

Legal business name

CHRYSALIS COUNSELING

Practice address

2243 Main Ave # 4D
Durango, CO 81301-4699

Phone

(970) 403-5054

NPI assigned

May 19, 2015

Last updated

May 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Wilkinson, MA LPCNPI 1386022929

Title

Owner

Phone

(970) 403-5054

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Wilkinson, LPC

  • Professional Counselor
  • Durango, CO
  • NPI 1386022929
  NPD (past) Authorized official

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1912386335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WALKER LN",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036684",
            "telephone_number": "970-403-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2243 MAIN AVE # 4D",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014699",
            "telephone_number": "970-403-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-403-5054",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0012445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Hospital Colorado (Children's Colorado Regional Outreach Clinic - Durango - PPSW)
• Chimney Rock Healthcare, Inc. (Durango Health and Rehabilitation)
• Chimney Rock Healthcare, Inc. (Durango Health and Rehabilitation)
• Steven Christensen, M.D.
• Christopher R. Hanosh MD PC
• Gregory Churchill, DO
• Richard Dean Cimaglia, PT
• Jay R Ciotti, MD
• Suzanne Renee Lafex Ciotti, MD
• David Cisneros

• Mental Health Counselor in Durango, CO
• Providers in Durango, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.