Mark Chrisinger, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15789 Issued in NC

Practice address

5062 Silas Creek Rd
Winston Salem, NC 27103-5962

Phone

(336) 462-8785

NPI assigned

Jul 7, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 1, 2024 through Dec 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mood Treatment Center, PLLC

  • Psychiatry Physician
  • Winston Salem, NC
  • NPI 1285867952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1154949170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5062 SILAS CREEK RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035962",
            "telephone_number": "336-462-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 SILAS CREEK RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035962",
            "telephone_number": "336-462-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISINGER",
        "first_name": "MARK",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A15789",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "15789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul James Choong, MD
• Choosing Me Therapeutic Services, PLLC
• Hannah Elizabeth Chotiner
• Sophia Imtiaz Choudhry, NP-C
• Aniqa Nuzhat Chowdhury, MS
• Alexa Dominique Chrisos
• Chris Nicholas Christakos, MD
• Christaline Studios
• Mary Elizabeth Christiaanse, MD
• Christian Faith Counseling PLLC

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.