Chrysalis Counseling Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CHRYSALIS COUNSELING SERVICES LLC

Practice address

3502 W Cinnabar Ave
Phoenix, AZ 85051-1256

Phone

(480) 789-1098

NPI assigned

Jan 18, 2023

Organization subpart

No

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

Authorized official

Name

Jesus M Jimenez

Title

Member

Phone

(480) 789-1098

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.

• Clara L Jimenez, LPC

  • Mental Health Counselor
  • Glendale, AZ
  • NPI 1891400438
  NPD

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1992410534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 N 55TH AVE STE 102-176",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011321",
            "telephone_number": "480-789-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 W CINNABAR AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511256",
            "telephone_number": "480-789-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-789-1098"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Lee Christy
• Amanda L Chronister, PHARMD
• Agnieszka M Chrostowski, M.D.
• Gregory K Chrostowski, M.D.
• Chruell Enterprises Inc.
• Chrysalis Shelter for Victims of Domestic Violence Inc
• Angel L Chu-Peterson, AGACNP
• Anita L Chu, PHARMD
• Danielle Daiyun Chu, M.D.
• Edward Tsien Chu, MD

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.