Metamorphosis Psychotherapy & Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

SW12475 Issued in FL

Legal business name

METAMORPHOSIS PSYCHOTHERAPY & COUNSELING

Practice address

4008 Lady Palm CT
Tampa, FL 33624-2383

Phone

(813) 777-7407

NPI assigned

Jan 24, 2017

Last updated

Jan 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Betancur, LCSWNPI 1164815023

Title

Therapist

Phone

(813) 777-7407

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Betancur, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1164815023
  Authorized official Same address or phone

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1053858365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4008 LADY PALM CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242383",
            "telephone_number": "813-777-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 LADY PALM CT",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242383",
            "telephone_number": "813-777-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS PSYCHOTHERAPY & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "BETANCUR",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "813-777-7407",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW12475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casandra Cecile Messier, LPN
• Anthony M Messina, M.D.
• James John Messina, PH.D.
• Jane Messina, MD
• Maddison Messina
• Metampa, LLC (Miracle Ear Center)
• Metampa, LLC (Miracle Ear Center)
• Brandon Metcalf
• Grant Jessie Metcalf, LCSW
• Holli Hackney Metcalf, NP-C

• Community/Behavioral Health Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.