Chrysalis Center for Family Growth, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5217 Issued in CO

Legal business name

CHRYSALIS CENTER FOR FAMILY GROWTH, LLC

Practice address

109 Cameron Dr BLDG a
Fort Collins, CO 80525-3961

Phone

(970) 223-2054

Fax

(970) 223-5074

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Sarah Higgins, LPC, NCC

Title

Member, Therapist

Phone

(970) 223-2054

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1922236629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CAMERON DR BLDG A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253961",
            "telephone_number": "970-223-2054",
            "fax_number": "970-223-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CAMERON DR BLDG A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253961",
            "telephone_number": "970-223-2054",
            "fax_number": "970-223-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS CENTER FOR FAMILY GROWTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MEMBER, THERAPIST",
        "authorized_official_telephone_number": "970-223-2054",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "5217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5217",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Michelle Christman, PHARMD
• Christopher L. Wilgers PHD. PLLC
• Chanise Christopher, PMHNP
• Jessica Marie Christopherson, D.C.
• Margeaux Christopherson, M.D.
• Paul Allan Chubbuck, M.S., S.E.P
• Julie L. Chudacoff, OT
• Jillian Church, RN
• Madison Cichowski
• Melinda Cicoff, LMT

• Community/Behavioral Health Agency in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.