Chrysalis Center for Counseling and Eating Disorder Treatment PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC

Practice address

3240 Burnt Mill Dr
Suite 1
Wilmington, NC 28403-2576

Phone

(910) 790-9500

Fax

(910) 796-8111

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Macon Funderburk

Title

Office Manager

Phone

(910) 790-9500

Specialties & licenses 4

Addresses

Tax ID family

Chrysalis Center for Counseling and Eating Disorder Treatment PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC

  • Registered Dietitian
  • Wilmington, NC
  • NPI 1073818704
  NPD tax ID
• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC

  • Psychologist
  • Wilmington, NC
  • NPI 1891865218
  NPD tax ID

Locations

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1952834640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 BURNT MILL DR",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032576",
            "telephone_number": "910-790-9500",
            "fax_number": "910-796-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 BURNT MILL DR",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032576",
            "telephone_number": "910-790-9500",
            "fax_number": "910-796-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "MACON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-790-9500"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric James Christopher, M.D.
• Kerry M Christopher, LCSW
• Chromatic Counseling PLLC
• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC
• Chrysalis Center for Counseling and Eating Disorder Treatment PLLC
• Chrysalis Home Care LLC
• Sarah Chudacek
• Mia Gabrielle Chung
• Eva Church, MSW, LCSWA
• Jeffrey Scott Church, M.D.

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, 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 Aug 21, 2024; 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.