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CHRYSALIS UTAH, INC.
NPI 1356843114
Counselor - Mental Health in Provo, UT

Active since March 07, 2018

NPPES record last updated: March 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Chrysalis Utah, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS UTAH, INC. (NPI 1356843114) is a healthcare organization registered as a mental health in Provo, Utah and active in the NPI registry since March 2018. The organization lists Richard Slack, Cfo, as its authorized official.

NPPES Registry Identity

NPI1356843114
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHRYSALIS UTAH, INC.
Location Address1507 S 180 EProvo, UT 84606-5570
Mailing Address1443 W 800 N Ste 103Orem, UT 84057-2878
Phone(801) 426-6661
Organization SubpartYes
Authorized OfficialRichard SlackCfo · (801) 655-4950
Enumeration DateMarch 7, 2018
✔ NPI 1356843114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1507 S 180 E, Provo, UT 84606
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEERA ANDERSEN
Behavior Analyst
1507 S 180 E
PROVO, UT 84606
Utah County (801) 426-6661
CADE CHARLTON RBT
Behavior Analyst
1507 S 180 E
PROVO, UT 84606
Utah County (801) 426-6661
MEGAN BROWN
Behavior Technician
1507 S 180 E
PROVO, UT 84606
Utah County (801) 674-7922
MICKELLE CHEEVER BCBA
Behavior Analyst
1507 S 180 E
PROVO, UT 84606
Utah County (801) 426-6661
HALEY KATE CHARLESWORTH RBT
Behavior Technician
1507 S 180 E
PROVO, UT 84606
Utah County (801) 604-1455
MCKENNA DOBBS
Behavior Technician
1507 S 180 E
PROVO, UT 84606
Utah County (801) 655-4950
SHAYLEE ANDERSON RBT
Behavior Analyst
1507 S 180 E
PROVO, UT 84606
Utah County (801) 655-4950
CECELIA ELIZABETH MILLER RBT
Behavior Technician
1507 S 180 E
PROVO, UT 84606
Utah County (801) 426-6661

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrysalis Utah, Inc.'s NPI number?

The NPI number for Chrysalis Utah, Inc. is 1356843114. It was assigned to this organization in the NPPES registry on March 7, 2018.

Where is Chrysalis Utah, Inc. located?

Chrysalis Utah, Inc. is located at 1507 S 180 E, Provo, UT 84606. The listed phone number is (801) 426-6661.

What is Chrysalis Utah, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Chrysalis Utah, Inc. was last updated on March 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.