Chrysalis Center for Counseling and Eating Disorder Treatment PLLC
NPI 1891865218 · Psychologist · Wilmington, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Chrysalis Center for Counseling and Eating Disorder Treatment PLLC is a Psychologist organization in Wilmington, NC (NPI 1891865218).
Provider details
- NPI number
- 1891865218
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Macon Funderburk, Office Manager(910) 790-9500
- License
- LPC6828 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2024-08-21
- Certified
- 2024-08-21
Frequently asked questions
- What is Chrysalis Center for Counseling and Eating Disorder Treatment PLLC's NPI number?
- Chrysalis Center for Counseling and Eating Disorder Treatment PLLC's National Provider Identifier (NPI) is 1891865218, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Chrysalis Center for Counseling and Eating Disorder Treatment PLLC?
- Chrysalis Center for Counseling and Eating Disorder Treatment PLLC is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Chrysalis Center for Counseling and Eating Disorder Treatment PLLC located?
- Chrysalis Center for Counseling and Eating Disorder Treatment PLLC's practice location on file with NPPES is 3240 Burnt Mill Dr Ste 1, Wilmington, NC 28403-2570.
- What is Chrysalis Center for Counseling and Eating Disorder Treatment PLLC's phone number?
- The practice phone number listed in the NPPES registry for Chrysalis Center for Counseling and Eating Disorder Treatment PLLC is (910) 790-9500.
- Does Chrysalis Center for Counseling and Eating Disorder Treatment PLLC accept Medicare?
- Chrysalis Center for Counseling and Eating Disorder Treatment PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Chrysalis Center for Counseling and Eating Disorder Treatment PLLC?
- The authorized official listed on Chrysalis Center for Counseling and Eating Disorder Treatment PLLC's NPPES record is Macon Funderburk, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Chrysalis Center for Counseling and Eating Disorder Treatment PLLC's NPI active?
- Yes — Chrysalis Center for Counseling and Eating Disorder Treatment PLLC's NPI (1891865218) is active in the NPPES registry as of the last update on 2024-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.