NPIMap

Organization Active NPI

Chrysalis Health Ohio, LLC

  • Community/Behavioral Health Agency
  • Steubenville, OH
National Provider Identifier
1003302886
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRYSALIS HEALTH OHIO, LLC
Practice address
1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380
Phone
(800) 691-6113
NPI assigned
Jul 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Authorized official

Name
Jo-Ann Prisco
Title
VP of Contracts
Phone
(772) 216-3031

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380

Mailing address

1524 Sunset Blvd Ste a
Steubenville, OH 43952-1380
Phone (800) 691-6113

Other practice location 1

220 Murdock St
Mingo Junction, OH 43938-1062
Phone (800) 691-6113

Other identifiers 1

IdentifierTypeStateIssuer
0351215MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201102002379 OH Part B Supplier - Clinic/Group Practice 0941610919 Receives reassigned benefits from 14 practitioners
Practice locations: Hilliard, OH; Steubenville, OH

National Provider Directory

National Provider Directory
Tax ID family
Chrysalis Health Ohio LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5250 Strawberry Farms Blvd
Columbus, OH 43230
Phone (800) 691-6113

5502 Nike Dr
Hilliard, OH 43026
Phone (216) 404-1900

1524 Sunset Blvd
Ste A
Steubenville, OH 43952
Phone (740) 264-7751

1 Ross Park Blvd
Steubenville, OH 43952
Phone (740) 283-2455

414 N 6th St
Steubenville, OH 43952
Phone (813) 965-1629

525 N 4th St
Steubenville, OH 43952
Phone (740) 264-7751

416 Clark St
Toronto, OH 43964
Phone (813) 965-1629

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1003302886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD STE A",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380",
            "telephone_number": "800-691-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 SUNSET BLVD STE A",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521380",
            "telephone_number": "800-691-6113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Murdock St",
            "address_purpose": "LOCATION",
            "city": "Mingo Junction",
            "state": "OH",
            "postal_code": "439381062",
            "country_code": "US",
            "telephone_number": "800-691-6113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRYSALIS HEALTH OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "PRISCO",
        "authorized_official_first_name": "JO-ANN",
        "authorized_official_title_or_position": "VP OF CONTRACTS",
        "authorized_official_telephone_number": "772-216-3031"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.