CHRYSALIS PSYCHOLOGICAL SERVICES, PLLC
NPI 1407528920
Clinic/Center - Mental Health (Including Community Mental Health Center) in Jackson, MI
About Chrysalis Psychological Services, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHRYSALIS PSYCHOLOGICAL SERVICES, PLLC (NPI 1407528920) is a healthcare organization registered as a mental health (including community mental health center) in Jackson, Michigan and active in the NPI registry since October 2021. The organization lists Jayde Kennedy-ball, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Chrysalis Psychological Services, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Chrysalis Psychological Services, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Chrysalis Psychological Services, PLLC's NPI number?
The NPI number for Chrysalis Psychological Services, PLLC is 1407528920. It was assigned to this organization in the NPPES registry on October 3, 2021.
Where is Chrysalis Psychological Services, PLLC located?
Chrysalis Psychological Services, PLLC is located at 156 W Michigan Ave Ste 525, Jackson, MI 49201. The listed phone number is (517) 262-0198.
What is Chrysalis Psychological Services, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Chrysalis Psychological Services, PLLC enrolled in Medicare?
Yes. Chrysalis Psychological Services, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chrysalis Psychological Services, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Chrysalis Psychological Services, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Chrysalis Psychological Services, PLLC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Chrysalis Psychological Services, PLLC 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 Chrysalis Psychological Services, PLLC was last updated on October 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Chrysalis Psychological Services, Pllc · NPI 1407528920
Mental Health (Including Community Mental Health Center) organization in Jackson, Michigan. Organization record, active in the CMS NPPES registry since October 3, 2021.
## Identity
- **NPI:** 1407528920 (Entity type: Organization)
- **Enumerated:** October 3, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Jayde Kennedy-Ball, OWNER
## Practice location
- **Address:** 156 W MICHIGAN AVE STE 525, Jackson, MI 49201-1302
- **Phone:** (517) 262-0198
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1407528920) · Data from the CMS NPPES public registry.