CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC (NPI# 1073818704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073818704 |
| Entity Type | Organization |
| Organization Name | CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC |
| Practice Address |
3904 Oleander Dr Suite 101 Wilmington NC 28403-6717 |
| Mailing Address |
3240 Burnt Mill Dr Ste 101 Wilmington NC 28403-2576 |
| Practice Telephone | 9107909500 |
| Practice Fax Number | 9107968111 |
| Mailing Telephone | 9107909500 |
| Mailing Fax Number | 9107968111 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2018-04-17 |
| Authorized Official Name | ALEXIS HUNTER (DIRECTOR OF PROFESSIONAL RELATIONS) |
| Authorized Official Telephone | 9107909500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | L002681 | NC | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MHN/TRICARE | 355080 | 01 | |
| NC | BCBSNC | 018AM | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952834640 | Chrysalis Center for Counseling and Eating Disorder Treatment Pllc | Psychologist | 3240 Burnt Mill Dr, Suite 1, Wilmington, NC 28403-2576 | 2017-04-10 |
| 1891865218 | Chrysalis Center for Counseling and Eating Disorder Treatment Pllc | Psychologist | 3904 Oleander Dr, Suite 101, Wilmington, NC 28403-6717 | 2006-11-09 |
| Street Address |
3904 OLEANDER DR SUITE 101 |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346273091 | Behavioral Healthcare Services, Inc. | Behavioral Analyst | 3904 Oleander Dr, Wilmington, NC 28403-6717 | 2006-07-08 |
| 1487131298 | Desiree Macdonald | Behavior Technician | 3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6735 | 2018-07-24 |
| 1922530278 | Karina Ordonez | Behavior Technician | 3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6717 | 2017-03-28 |
| 1376084087 | Liana Mino | Behavior Technician | 3904 Oleander Dr, #102, Wilmington, NC 28403-6717 | 2017-03-14 |
| 1952848947 | Sydney Pickard | Behavior Technician | 3904 Oleander Dr, #102, Wilmington, NC 28403-6717 | 2017-01-27 |
| 1659818979 | Elizabeth Wannstedt | Behavior Technician | 3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6717 | 2017-01-24 |
| 1881130052 | Crystal O'mara | Assistant Behavior Analyst | 3904 Oleander Dr, Wilmington, NC 28403-6717 | 2017-01-12 |
| 1285176958 | Lyrica Leigh Squires | Behavior Technician | 3904 Oleander Dr, Suite 102, Wilmington, NC 28403-6717 | 2016-11-13 |
| 1720440167 | Heather Overton | Psychologist | 3904 Oleander Dr, Wilmington, NC 28403-6717 | 2016-03-24 |
| 1952719510 | Rebecca Daniel | Psychologist | 3904 Oleander Dr, Suite 101, Wilmington, NC 28403-6717 | 2014-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978245 | Jaclyn Lee Atwater | Dietitian, Registered | 415 Yucca Ln, Wilmington, NC 28412-1042 | 2020-10-06 |
| 1912521626 | Kenneth Jefferson Allen IIi | Dietitian, Registered | 2106 Barnett Ave, Wilmington, NC 28403-2240 | 2020-05-29 |
| 1720600729 | Melissa Buscetta | Dietitian, Registered | 4647 Fairview Dr Apt 328, Wilmington, NC 28412-3684 | 2020-05-12 |
| 1285270207 | Ruby Ali | Dietitian, Registered | 115 Amberleigh Dr Apt 206, Wilmington, NC 28411-9810 | 2019-11-25 |
| 1184280158 | Melissa Danielle Flynn | Dietitian, Registered | 4702 Bentley Dr, Wilmington, NC 28409-6958 | 2019-05-15 |
| 1013424126 | Kyrstin Brianna Draney | Dietitian, Registered | 5129 Oleander Dr Ste 103, Wilmington, NC 28403-7062 | 2018-01-10 |
| 1588191225 | Rachael Swartz | Dietitian, Registered | 3305 Burnt Mill Dr Ste 100, Wilmington, NC 28403-3067 | 2017-05-12 |
| 1235663014 | April Callahan | Dietitian, Registered | 2 Kristina Ct, Wilmington, DE 19808-4063 | 2017-04-18 |
| 1518416205 | Nancy Lois Angell | Dietitian, Registered | 114 Kenneth Ct, Wilmington, NC 28405-1307 | 2016-09-23 |
| 1891163218 | Stefanie Weiner | Dietitian, Registered | 919 Cloister Rd, Apt E, Wilmington, DE 19809-1018 | 2015-09-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.