NPIMap

Organization Active NPI

Chrysalis Inc

Doing business as Chrysalis

  • Day Training/Habilitation Specialist
  • Coeur d'Alene, ID
National Provider Identifier
1245018340
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
CHRYSALIS INC
Doing business as
Chrysalis
Practice address
280 W Prairie Ave Ste 3
Coeur D Alene, ID 83815-9401
Phone
(208) 660-5737
NPI assigned
Sep 19, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Terri Kae Johnson
Title
Ceo
Phone
(208) 660-5737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X Primary

Addresses

Primary practice location

280 W Prairie Ave Ste 3
Coeur D Alene, ID 83815-9401

Mailing address

280 W Prairie Ave Ste 3
Coeur D Alene, ID 83815-9401
Phone (208) 660-5737

Other names 1

  • Chrysalis Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chrysalis4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1245018340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W PRAIRIE AVE STE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159401",
            "telephone_number": "208-660-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 W PRAIRIE AVE STE 3",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838159401",
            "telephone_number": "208-660-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "KAE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-660-5737"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chrysalis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.