Chrysalis Counseling LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC-5005 Issued in ID

Legal business name

CHRYSALIS COUNSELING LLC

Practice address

686 N 9TH St
Boise, ID 83702-5458

Phone

(208) 850-1896

NPI assigned

Jan 13, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jaime McManus, MA, LCPC, NCC

Title

Director of Behavioral Health Servi

Phone

(208) 850-1896

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1891184891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 N 9TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025458",
            "telephone_number": "208-850-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 N 9TH ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837025458",
            "telephone_number": "208-850-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH SERVI",
        "authorized_official_telephone_number": "208-850-1896",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ID",
            "license": "LPC-5005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher W Hammerle MD CHTD
• Andrea S Christopher, M.D.
• Chrisean Christopher, LCPC
• Michelle Stacey Christopher, M.D.
• Chrysalis Counseling
• Jared Anderson Chugg, M.D.
• Lagilelei Church
• Leona Jo'Anne' Church, CPNP
• Nathan John Church, PA-C
• Matthew Churns, PHARM.D.

• Community/Behavioral Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.