NPIMap

Organization Active NPI

Chrysalis Family Solutions, LLC

  • Community/Behavioral Health Agency
  • Wooster, OH
National Provider Identifier
1477063238
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CHRYSALIS FAMILY SOLUTIONS, LLC
Practice address
201 E Liberty St Ste 140
Wooster, OH 44691-4325
Phone
(330) 439-5651
Fax
(330) 439-5657
NPI assigned
Oct 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Angela EarleyNPI 1174502306
Title
Owner
Phone
(330) 466-5640

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

201 E Liberty St Ste 140
Wooster, OH 44691-4325

Mailing address

201 E Liberty St Ste 140
Wooster, OH 44691-4325
Phone (330) 439-5651

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180726001763 OH Part B Supplier - Clinic/Group Practice 3971850660 Receives reassigned benefits from 6 practitioners
Practice locations: Wooster, OH

National Provider Directory

National Provider Directory

Locations

10870 Portage St NW
Canal Fulton, OH 44614
Phone (330) 439-5651

201 E Liberty St
Ste 140
Wooster, OH 44691
Phone (330) 439-5651

439 N Market St
Wooster, OH 44691
Phone (330) 439-5651

439 N Market St
Ste B
Wooster, OH 44691
Phone (330) 439-5651

Practitioners & affiliated clinicians

Practitioners 12

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": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1477063238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LIBERTY ST STE 140",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914325",
            "telephone_number": "330-439-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E LIBERTY ST STE 140",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446914325",
            "telephone_number": "330-439-5651",
            "fax_number": "330-439-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS FAMILY SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "EARLEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-466-5640"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.