Healthcare Provider Details

I. General information

NPI: 1194304469
Provider Name (Legal Business Name): CHRYSALIS ENTERPRISES OF OHIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 NORTHWOODS BLVD
COLUMBUS OH
43235-4719
US

IV. Provider business mailing address

118 GRACELAND BLVD # 143
COLUMBUS OH
43214-1530
US

V. Phone/Fax

Practice location:
  • Phone: 614-805-7430
  • Fax:
Mailing address:
  • Phone: 614-805-7430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SCHRAPPE
Title or Position: OWNER
Credential: LPCC
Phone: 614-805-7430