CHRYSALIS FOUNDATION FOR MENTAL HEALTH, INC (NPI# 1821130642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821130642 |
| Entity Type | Organization |
| Organization Name | CHRYSALIS FOUNDATION FOR MENTAL HEALTH, INC |
| Practice Address |
815 Sanford Rd Pittsboro NC 27312-9423 |
| Mailing Address |
101 E Weaver St Suite G-7 Carrboro NC 27510-2370 |
| Practice Telephone | 9195427432 |
| Mailing Telephone | 9199330770 |
| Mailing Fax Number | 9199330767 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-17 |
| Authorized Official Name | MR. JEFFERSON DOUGLAS PARKER (ACTING EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9199330828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-019-024 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301147S | 05 | |
| NC | 8301147 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487796116 | Chrysalis Foundation for Mental Health, Inc | Community/Behavioral Health | 211 Webb St, Roxboro, NC 27573-5338 | 2007-02-12 |
| Street Address |
815 SANFORD RD |
| City | PITTSBORO |
| State | NC |
| Zip Code | 27312-9423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343150 | Daymark Recovery Services Inc | Community/Behavioral Health | 815 Sanford Rd, Pittsboro, NC 27312-9423 | 2019-05-31 |
| 1578816831 | Kathleen White Cole | Social Worker | 815 Sanford Rd, Pittsboro, NC 27312-9423 | 2012-10-23 |
| 1386883981 | Therapeutic Alternatives, Inc | Community/Behavioral Health | 815 Sanford Rd, Pittsboro, NC 27312-9423 | 2009-02-05 |
| 1467691063 | Therapeutic Alternatives, Inc. | Community/Behavioral Health | 815 Sanford Rd, Pittsboro, NC 27312-9423 | 2009-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205445814 | Tanisha Baptist | Home Health Aide | 488 State Highway 87 N, Pittsboro, NC 27312 | 2020-07-29 |
| 1720648330 | Merrill Jane Wood | Counselor | 222 Penny Lane, Pittsboro, NC 27312 | 2019-06-17 |
| 1225695083 | Restored Family Care | Custodial Care Facility | 3116 New Hill Hollemen Rd., New Hill, NC 27312 | 2019-05-28 |
| 1417427055 | Megan M Ribbing | Nurse Practitioner | 287 East St. Suite 221, Pittsboro, NC 27312 | 2018-11-27 |
| 1346726205 | Clear Hearing Solutions IIi, LLC | Audiologist-Hearing Aid Fitter | 959 East Street, Suite A, Platinum Commons, Pittsboro, NC 27312 | 2018-07-13 |
| 1578056362 | Veronica Zeugner | Physical Therapist | 75 U.S. Hwy 15/501, Pittsboro, NC 27312 | 2018-06-07 |
| 1528590759 | Tracey King | Occupational Therapist | 50 Craggenmore Rd, Pittsboro, NC 27312 | 2017-03-28 |
| 1194196683 | Pine Ridge of Pittsboro Primary Care LLC | Clinic/Center | 628-b Highway 64 East, Pittsboro, NC 27312 | 2015-10-09 |
| 1821489618 | Melissa Tutwiler | Physical Therapist | 75 Freedom Parkway, Suite E, Pittsboro, NC 27312 | 2015-02-15 |
| 1013316041 | Katherine Kennedy | Physical Therapist | 75 Freedom Parkway, Suite E, Pittsboro, NC 27312 | 2014-08-14 |
| Find all providers in zip 27312 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861863722 | Keith E. Green & Associates, LLC | Community/Behavioral Health | 548 Chapel Ridge Dr, Pittsboro, NC 27312-9343 | 2015-10-16 |
| 1952637423 | Christian Fisher LLC | Community/Behavioral Health | 310 West St, Pittsboro, NC 27312-9448 | 2009-10-19 |
| 1982875241 | Freedom House Recovery Center, Inc. | Community/Behavioral Health | 288 East St, Ste 1004, Pittsboro, NC 27312 | 2008-03-14 |
| 1598935686 | Therapeutic Alternatives, Inc. | Community/Behavioral Health | 200 Sanford Rd, Suite 2, Pittsboro, NC 27312-5683 | 2008-03-05 |
| 1447857479 | Outmazing Care Home, LLC | Community/Behavioral Health | 488 State Highway 87 N, Pittsboro, NC 27312 | 2020-10-02 |
| 1790343150 | Daymark Recovery Services Inc | Community/Behavioral Health | 815 Sanford Rd, Pittsboro, NC 27312-9423 | 2019-05-31 |
| 1366848525 | Trinity Behavioral Healthcare PC | Community/Behavioral Health | 102 Camp Dr, Suite A, Pittsboro, NC 27312-5684 | 2014-11-14 |
| 1558690453 | Sequel Tsi of North Carolina, LLC | Community/Behavioral Health | 2480 Hadley Mill Rd, Pittsboro, NC 27312-7832 | 2009-12-24 |
| 1992034797 | Carolina Outreach, LLC | Community/Behavioral Health | 480 Hillsboro St, Suite 130, Pittsboro, NC 27312-9497 | 2009-12-08 |
| 1245465418 | Triumph LLC | Community/Behavioral Health | 288 East Street, Suite 1002, Pittsboro, NC 27312-9759 | 2009-05-18 |
| Find all providers in PITTSBORO | ||||
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| 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.