Chrysalis Institute, LLC
Chrysalis Institute, LLC is a healthcare organization registered as Mental Health Counselor in Moore, OK, holding Type 2 (organization) NPI 1265663363 since 2009. The authorized official on file is Kelly Bender, President/Therapist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1265663363 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Chrysalis Institute, LLC |
| Practice address | 800 NE 19TH ST, Moore, OK, 73160 |
| Phone | 4057355263 |
| Fax | 4057355265 |
| Enumeration date | 2009-08-06 |
| Last updated in NPPES | 2009-08-06 |
Authorized official
| Name | Kelly Bender |
|---|---|
| Title | President/Therapist |
| Phone | 4053013983 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor | Secondary | — | — |
| 106H00000X | Marriage & Family Therapist | Secondary | — | — |
| 251S00000X | Community/Behavioral Health Agency | Secondary | — | — |
| 101YM0800X | Mental Health Counselor | Primary | — | — |
Copy-ready billing details
Provider: Chrysalis Institute, LLC NPI: 1265663363 Taxonomy: 101YM0800X (Mental Health Counselor) Address: 800 NE 19TH ST, Moore, OK, 73160
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639481898 | Charles Bender | Individual | Pastoral Counselor | Moore, OK |
| 1407134315 | Michael Hathcock | Individual | Mental Health Counselor | Moore, OK |
Verify this record
Cross-check NPI 1265663363 against the authoritative CMS record: view Chrysalis Institute, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Chrysalis Institute, LLC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-08-06.