Chrysalis Inc

Primary specialty

CounselorTaxonomy code 101Y00000X

License

136 Issued in WV

Legal business name

CHRYSALIS INC

Practice address

160 Undercliff Ter
Princeton, WV 24740-2174

Phone

(304) 425-6110

Fax

(304) 487-6199

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Twyla Hersman, MA

Title

LPC

Phone

(304) 425-6110

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Twyla Hersman, MA, LPC Other name

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972713121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 UNDERCLIFF TER",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402174",
            "telephone_number": "304-425-6110",
            "fax_number": "304-487-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 UNDERCLIFF TER",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402174",
            "telephone_number": "304-425-6110",
            "fax_number": "304-487-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERSMAN",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "304-425-6110",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WV",
            "license": "136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "029884",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "248572",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twyla Hersman, MA, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Counselor in Princeton, WV
• Providers in Princeton, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.