Organization Active NPI

Metamorphosis Counseling, LLC

  • Community/Behavioral Health Agency
  • Rockville, MD
National Provider Identifier
1033502695
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LC 5945 Issued in MD
Legal business name
METAMORPHOSIS COUNSELING, LLC
Practice address
3202 Tower Oaks Blvd
Suite 202
Rockville, MD 20852-4219
Phone
(240) 498-9282
Fax
(301) 770-4225
NPI assigned
Mar 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Claire Danielle Blatt, LCPC
Title
Owner and Psychotherapist
Phone
2404989282404989282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LC 5945 MD Primary

Addresses

Primary practice location

3202 Tower Oaks Blvd
Suite 202
Rockville, MD 20852-4219

Mailing address

3202 Tower Oaks Blvd
Suite 202
Rockville, MD 20852-4219
Phone (240) 498-9282

National Provider Directory

National Provider Directory

Locations

3202 Tower Oaks Blvd
Ste 202
Rockville, MD 20852
Phone (240) 498-9282

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1033502695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "240-498-9282",
            "fax_number": "301-770-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 TOWER OAKS BLVD",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524219",
            "telephone_number": "240-498-9282",
            "fax_number": "301-770-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "BLATT",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER AND PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "2404989282404989282",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "LC 5945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.