Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chrysalis Wellness LLC

Organization Mental Health Counselor · NPI 1366322935

Chrysalis Wellness LLC is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4659 NE Ainsworth St
Portland, OR 97218-1849
Phone: (503) 451-0079
Fax: (503) 486-3527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1366322935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ajna Rae — Owner · (503) 451-0079
NPI enumeratedSeptember 4, 2025
Last updated in NPPESSeptember 4, 2025
Certification dateSeptember 4, 2025
Mailing address4659 Ne Ainsworth St, Portland, OR 97218-1849

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