KERRY ALICE CHRYSALIS BURSLEY LPC
NPI 1780192856
Counselor - Professional in Raymore, MO

Active since January 11, 2018PECOS EnrolledAccepts Medicare Assignment
501 N SUNSET LN, RAYMORE, MO 64083(844) 853-8937 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Jul 29, 2021, Jan 30, 2020 and 2 more (5 updates tracked since 2018).

About Kerry Alice Chrysalis Bursley Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KERRY ALICE CHRYSALIS BURSLEY LPC (NPI 1780192856) is an individual professional provider in Raymore, Missouri, licensed in Missouri (2017042943) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1780192856
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKERRY ALICE CHRYSALIS BURSLEYCredential: LPC
Location Address501 N SUNSET LNRaymore, MO 64083-9402
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 11, 2018
Last NPPES UpdateNovember 21, 20235 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1780192856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MO · 2017042943
501 N SUNSET LN, Raymore, MO 64083

Other Names 1

Former Name (1)Kerry Alice Earthsoul Lpc

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kerry Alice Chrysalis Bursley Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456709971
PECOS Enrollment IDI20231122000655
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
501 N SUNSET LN
RAYMORE, MO 64083
Counselor (Mental Health)
501 N SUNSET LN
RAYMORE, MO 64083
Social Worker
501 N SUNSET LN
RAYMORE, MO 64083
Counselor (Professional)
501 N SUNSET LN
RAYMORE, MO 64083
Counselor (Professional)
501 N SUNSET LN
RAYMORE, MO 64083
Social Worker (Clinical)
501 N SUNSET LN
RAYMORE, MO 64083
Psychologist (Clinical)
501 N SUNSET LN
RAYMORE, MO 64083
Counselor (Professional)
501 N SUNSET LN
RAYMORE, MO 64083

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Bursley's NPI number?

The NPI number for Kerry Bursley is 1780192856. It was assigned to this individual provider in the NPPES registry on January 11, 2018. The provider is also known as Kerry Alice Earthsoul Lpc.

Where is Kerry Bursley located?

Kerry Bursley practices at 501 N Sunset Ln, Raymore, MO 64083. The listed phone number is (844) 853-8937.

What is Kerry Bursley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kerry Bursley enrolled in Medicare?

Yes. Kerry Bursley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kerry Bursley accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Kerry Bursley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kerry Bursley was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.