CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC
NPI 1891865218
Psychologist in Wilmington, NC

Active since November 09, 2006
3240 BURNT MILL DR STE 1, WILMINGTON, NC 28403(910) 790-9500(910) 796-8111 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 21, 2024, Apr 18, 2018 (2 updates tracked since 2018).

About Chrysalis Center For Counseling And Eating Disorder Treatment Pllc NPPES

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

CHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC (NPI 1891865218) is a healthcare organization registered as a psychologist in Wilmington, North Carolina and active in the NPI registry since November 2006. The organization lists Macon Funderburk, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1891865218
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameCHRYSALIS CENTER FOR COUNSELING AND EATING DISORDER TREATMENT PLLC
Location Address3240 BURNT MILL DR STE 1Wilmington, NC 28403-2570
Mailing Address3240 Burnt Mill Dr Ste 101Wilmington, NC 28403-2576 · (910) 790-9500 · Fax (910) 796-8111
Fax(910) 796-8111
Organization SubpartNo
Authorized OfficialMacon FunderburkOffice Manager · (910) 790-9500
Enumeration DateNovember 9, 2006
Last NPPES UpdateAugust 21, 20242 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1891865218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NC · 2805
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License LPC6828 (NC)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C006434 (NC)
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License L003399 (NC)
3240 BURNT MILL DR STE 1, Wilmington, NC 28403

Other Identifiers 2

Other355080NC · Mhn/tricare
Other018AMNC · Bcbs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chrysalis Center For Counseling And Eating Disorder Treatment Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Chrysalis Center For Counseling And Eating Disorder Treatment PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1437811932
3240 BURNT MILL DR STE 1
Wilmington, NC 28403
(910) 790-9500
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1962152629
3240 BURNT MILL DR STE 1
Wilmington, NC 28403
(910) 790-9500
Same address
Nurse Practitioner
NPI 1285517631
2131 S 17TH ST
Wilmington, NC 28401
(910) 667-7000
✔ PECOS✔ Accepts Medicare2.1 mi
Mental Health Counselor
NPI 1205025079
615 SHIPYARD BLVD
Wilmington, NC 28412
(910) 343-0145
✔ PECOS✔ Accepts Medicare3.2 mi
Clinical Social Worker
NPI 1033762224
309 PROGRESS DR
Burgaw, NC 28425
(910) 343-0145
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1245612506
200 MEDICAL PARK DR STE 400
Concord, NC 28025
(704) 786-1108
✔ PECOS✔ Accepts Medicare175 mi
Clinical Psychologist
NPI 1205978681
2226 S AIRPORT RD W SUITE A
Traverse City, MI 49684
(231) 947-2442
✔ PECOS✔ Accepts Medicare833 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Chrysalis Center For Counseling And Eating Disorder Treatment PLLC's NPI number?

The NPI number for Chrysalis Center For Counseling And Eating Disorder Treatment PLLC is 1891865218. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Chrysalis Center For Counseling And Eating Disorder Treatment PLLC located?

Chrysalis Center For Counseling And Eating Disorder Treatment PLLC is located at 3240 Burnt Mill Dr Ste 1, Wilmington, NC 28403. The listed phone number is (910) 790-9500.

What is Chrysalis Center For Counseling And Eating Disorder Treatment PLLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Chrysalis Center For Counseling And Eating Disorder Treatment PLLC enrolled in Medicare?

Yes. Chrysalis Center For Counseling And Eating Disorder Treatment PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Chrysalis Center For Counseling And Eating Disorder Treatment PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Chrysalis Center For Counseling And Eating Disorder Treatment PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Clinical Psychologist (1) and Clinical Social Worker (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Chrysalis Center For Counseling And Eating Disorder Treatment PLLC accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Chrysalis Center For Counseling And Eating Disorder Treatment PLLC 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 Chrysalis Center For Counseling And Eating Disorder Treatment PLLC was last updated on August 21, 2024. 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.