CHRYSALIS INC (NPI# 1972713121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972713121 |
| Entity Type | Organization |
| Organization Name | CHRYSALIS INC |
| Other Organization Name | TWYLA HERSMAN, MA, LPC |
| Practice Address |
160 Undercliff Ter Princeton WV 24740-2174 |
| Practice Telephone | 3044256110 |
| Practice Fax Number | 3044876199 |
| Mailing Telephone | 3044256110 |
| Mailing Fax Number | 3044876199 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TWYLA HERSMAN (LPC) |
| Authorized Official Telephone | 3044256110 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 136 | WV | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VALUE OPTIONS | 029884 | 01 | |
| ANTHEM | 248572 | 01 |
| Other Name | Type Code |
|---|---|
| Twyla Hersman, MA, LPC | Other Name - Individual/Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CHRYSALIS INC. | 2083 Felix Ct, North Baldwin, Ny 11510 |
| Virginia Business Entities | CHRYSALIS INC. | 600 Shenandoah Ave., Elkton, Virginia 22827 |
| Street Address |
160 UNDERCLIFF TER |
| City | PRINCETON |
| State | WV |
| Zip Code | 24740-2174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713446 | Deborah Nolley | Psychologist | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2005-10-11 |
| 1669696589 | New Hope Psychiatric Associates, PC | Clinic/Center | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2007-04-12 |
| 1043396385 | Twyla Mcguire Hersman | Counselor | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2006-10-30 |
| 1164405791 | Shanna Michele Autrey | Physician Assistant | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2005-11-29 |
| 1265415731 | John Carr Terry | Psychologist | 160 Undercliff Ter, Princeton, WV 24740-2174 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658632 | New Beginnings Therapy Services, LLC | Community/Behavioral Health | 616 Harrison Street, Princeton, WV 24740 | 2020-10-27 |
| 1215536222 | Right At Home | Home Health | 313 Locus St, Princeton, WV 24740 | 2020-10-21 |
| 1881208098 | Robin Lane | Technician | 174 Tea Kettle Road, Princeton, WV 24740 | 2020-09-04 |
| 1134739824 | Nona Arthur | Technician | 708 Bluefiled Ave, Princeton, WV 24740 | 2020-08-06 |
| 1851909014 | Tina B Altizer | Speech-Language Pathologist | 120 12th Street, Princeton, WV 24740 | 2020-07-14 |
| 1245712504 | Tracy Jean Mitchell | Speech-Language Pathologist | 1200 Mercer St, Princeton, WV 24740 | 2018-09-04 |
| 1700305240 | Tina Six | Registered Nurse | 1403 Honaker Avenue, Princeton, WV 24740 | 2017-09-15 |
| 1013449172 | Karin Cappa | Pharmacist | 669 Cornfield Rd, Princeton, WV 24740 | 2017-03-29 |
| 1942661723 | Virginia Chryssikos | Social Worker | 3016 E Cumberland Road, Bluestone Family Practice, Bluefield, WV 24740 | 2016-03-08 |
| 1477939460 | Kathy Diane Wyrick | Counselor | 220 South Walker Street, Princeton, WV 24740 | 2015-08-03 |
| Find all providers in zip 24740 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296117 | Dayna Lynn D'amico | Counselor | 213 Commons Way Ste 214, Princeton, NJ 08540-1508 | 2019-10-15 |
| 1881154862 | Beth L Way | Counselor | 20 Nassau St Ste 504, Princeton, NJ 08542-4505 | 2019-03-25 |
| 1760974646 | Nicole Ciccone | Counselor | 103 Carnegie Ctr Ste 120, Princeton, NJ 08540-6235 | 2018-06-05 |
| 1407344427 | Michael Lasser | Counselor | 205 S Jefferson St, Princeton, KY 42445-1905 | 2018-04-25 |
| 1801311097 | Michael E Miroux | Counselor | 526 S Bureau Valley Pkwy Ste B, Princeton, IL 61356-2066 | 2017-08-08 |
| 1316337066 | Viewsight, Inc. | Counselor | 1109 Antoinette Dr, Princeton, TX 75407-2808 | 2015-02-03 |
| 1730437336 | Antonia Jo Lynn Porter | Counselor | 109 Thorn St Ste B-3, Princeton, WV 24740 | 2012-08-29 |
| 1700095882 | New Horizons Psychological Associates Pllc | Counselor | 105 Gott Road, Princeton, WV 24740-2103 | 2007-05-22 |
| 1922126549 | Carol Lynn Hubbard | Counselor | Rr 2 Box 296a, Princeton, MO 64673-9462 | 2007-03-26 |
| 1306916150 | Barbara Lee Anderson | Counselor | 905 Mercer Street, Princeton, WV 24740-2909 | 2006-11-09 |
| Find all providers in PRINCETON | ||||
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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.