Chrysalis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4873 Issued in NC

Legal business name

CHRYSALIS

Practice address

1312 Hamilton PL
Suite 105
High Point, NC 27265

Phone

(336) 885-2116

NPI assigned

Sep 8, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kandace Koontz Perryman, LPC, NCC, NCSC

Title

Owner, Psychotherapist

Phone

(336) 885-2116

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kandace Koontzperryman, LPC, NCC, MA

  • Professional Counselor
  • High Point, NC
  • NPI 1730295072
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1346573417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 HAMILTON PL",
            "address_2": "SUITE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "336-885-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 HAMILTON PL",
            "address_2": "SUITE 105",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27265",
            "telephone_number": "336-885-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "PERRYMAN",
        "authorized_official_first_name": "KANDACE",
        "authorized_official_middle_name": "KOONTZ",
        "authorized_official_title_or_position": "OWNER, PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "336-885-2116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, NCC, NCSC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San San Cho, R.N.
• Christopher Daniel Chou
• Danny Ray Chrisco Jr., FNP-C
• Virginia Reece Christman, PA-C
• Christyhealth Care Services
• Ugonma Igwe Chukwuma, FNP
• Cecilia Elle Cioffi
• Cameron Taylor Clark, PA-C
• Waleed Ajamu Clark, DDS
• Greg Lawson Clary, MD

• Mental Health Counselor in High Point, NC
• Providers in High Point, 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 Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.