Organization Active NPI

Chrysalis Aphasia and Adult Speech Rehabilitation

  • Speech-Language Pathologist
  • El Paso, TX
National Provider Identifier
1083362321
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHRYSALIS APHASIA AND ADULT SPEECH REHABILITATION
Practice address
3905 Jefferson Ave
El Paso, TX 79930-6613
Phone
(915) 820-3944
NPI assigned
Mar 15, 2022
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Jacqueline Nicole Alvarado, MS, CCC-SLPNPI 1265726772
Title
Speech- Language Pathologist
Phone
(915) 820-3944

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

3905 Jefferson Ave
El Paso, TX 79930-6613

Mailing address

1605 George Dieter Dr Ste 536
El Paso, TX 79936-5600
Phone (915) 671-1371

Other practice location 1

3105 N Yarbrough Dr Ste 105
El Paso, TX 79925
Phone (915) 820-3944

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220525001607 TX Part B Supplier - Clinic/Group Practice 0042698441 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

National Provider Directory

National Provider Directory

Locations

3105 N Yarbrough Dr
Ste 105
El Paso, TX 79925
Phone (915) 449-3450

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1083362321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 GEORGE DIETER DR STE 536",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365600",
            "telephone_number": "915-671-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 JEFFERSON AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799306613",
            "telephone_number": "915-820-3944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 N Yarbrough Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79925",
            "country_code": "US",
            "telephone_number": "915-820-3944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRYSALIS APHASIA AND ADULT SPEECH REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "ALVARADO",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "SPEECH- LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "915-820-3944",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.