OrganizationActive
Chrysalis Wellness LLC
NPI 1366322935 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1366322935
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ajna Rae, Owner(503) 451-0079
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4659 Ne Ainsworth St
Portland, OR 97218-1849
Phone: (503) 451-0079
Fax: (503) 486-3527
Street-level locationGet directions
Mailing address
4659 Ne Ainsworth St
Portland, OR 97218-1849
Registry dates
- Enumerated
- 2025-09-04
- Last updated
- 2025-09-04
- Certified
- 2025-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.