CHRYSALLIS WELLNESS CENTER INC
NPI 1386272334
Counselor - Mental Health in Fort Myers, FL

Active since March 27, 2020
11932 FAIWAY LAKES, FORT MYERS, FL 33913(239) 738-0926 Get Directions Write a Review

NPPES record last updated: April 7, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2020, Mar 27, 2020 (2 updates tracked since 2020).

About Chrysallis Wellness Center Inc NPPES

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

CHRYSALLIS WELLNESS CENTER INC (NPI 1386272334) is a healthcare organization registered as a mental health in Fort Myers, Florida and active in the NPI registry since March 2020. The organization lists Marie Carmelle Boisbel, Vice President, as its authorized official.

NPPES Registry Identity

NPI1386272334
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCHRYSALLIS WELLNESS CENTER INC
Location Address11932 FAIWAY LAKESFort Myers, FL 33913
Mailing Address11932 Faiway LakesFort Myers, FL 33913 · (239) 738-0926
Organization SubpartNo
Authorized OfficialMarie Carmelle BoisbelVice President · (239) 738-4307
Enumeration DateMarch 27, 2020
Last NPPES UpdateApril 7, 20202 updates tracked since enumeration
NPPES CertifiedApril 7, 2020
✔ NPI 1386272334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11932 FAIWAY LAKES, Fort Myers, FL 33913

Other Names 1

Doing Business AsChrysallis Wellness Center Inc

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chrysallis Wellness Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Chrysallis Wellness Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Psychiatry
NPI 1083838106
11932 FAIRWAY LAKES DR STE 1
Fort Myers, FL 33913
(239) 237-2801
✔ PECOS✔ Accepts Medicare4.6 mi
Mental Health Counselor
NPI 1073906871
11932 FAIRWAY LAKES DR STE 1
Fort Myers, FL 33913
(239) 237-2801
✔ PECOS✔ Accepts Medicare4.6 mi
Psychiatry
NPI 1578577961
6360 TECHSTER BLVD STE 1
Fort Myers, FL 33966
(239) 223-2751
✔ PECOS✔ Accepts Medicare9.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chrysallis Wellness Center Inc's NPI number?

The NPI number for Chrysallis Wellness Center Inc is 1386272334. It was assigned to this organization in the NPPES registry on March 27, 2020.

Where is Chrysallis Wellness Center Inc located?

Chrysallis Wellness Center Inc is located at 11932 Faiway Lakes, Fort Myers, FL 33913. The listed phone number is (239) 738-0926.

What is Chrysallis Wellness Center Inc's specialty?

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

Is Chrysallis Wellness Center Inc enrolled in Medicare?

Yes. Chrysallis Wellness Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chrysallis Wellness Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Chrysallis Wellness Center Inc, in Mental Health Counselor and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chrysallis Wellness Center Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 3 other insurers list Chrysallis Wellness Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chrysallis Wellness Center Inc was last updated on April 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.