Organization Active NPI

Chrysalis Therapy, PLLC

  • Mental Health Counselor
  • West Richland, WA
National Provider Identifier
1104539030
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CHRYSALIS THERAPY, PLLC
Practice address
4820 Holly Way
West Richland, WA 99353-5716
Phone
(509) 362-9411
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Taylor Blackwell, LMFTNPI 1992240212
Title
Marriage and Family Therapist
Phone
(509) 362-9411

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4820 Holly Way
West Richland, WA 99353-5716

Mailing address

4820 Holly Way
West Richland, WA 99353-5716
Phone (509) 362-9411

Other identifiers 1

IdentifierTypeStateIssuer
1992240212MedicaidWA

National Provider Directory

National Provider Directory

Locations

1330 N Washington St
Ste 2430
Spokane, WA 99201

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1104539030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 HOLLY WAY",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535716",
            "telephone_number": "509-362-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 HOLLY WAY",
            "city": "WEST RICHLAND",
            "state": "WA",
            "postal_code": "993535716",
            "telephone_number": "509-362-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "509-362-9411",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992240212",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.