NPI age
2 years
Enumerated 2023-10-24
● Active Type 2 · Organization
Chrysalis Inc
Chrysalis Inc is 1 of 40 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Ceo
Last NPPES update
2023-10-24
Source: monthly bulk 2026-05
How this organization compares
Across 40 active clinic/center providers in Idaho.
NPI age
2 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-10Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
280 W Prairie Ave Ste 3
Coeur D Alene, ID 838159401
Mailing address
280 W Prairie Ave Ste 3
Coeur D Alene, ID 838159401
Authorized official
Terri Kae Johnson
Ceo
📞 2087072770
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Chrysalis
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.