Organization Active NPI

Metamorphosis Counseling Center

  • Professional Counselor
  • MC Murray, PA
National Provider Identifier
1063808475
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC006851 Issued in PA
Legal business name
METAMORPHOSIS COUNSELING CENTER
Practice address
300 Cedar Hill Dr
MC Murray, PA 15317-2529
Phone
(304) 312-1192
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Rebecca Kline
Title
Owner, Clinical Director
Phone
(304) 312-1192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X PC006851 PA Primary

Addresses

Primary practice location

300 Cedar Hill Dr
MC Murray, PA 15317-2529

Mailing address

418 Fountain St # 1
Carnegie, PA 15106-2811
Phone (304) 312-1192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1063808475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 FOUNTAIN ST # 1",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151062811",
            "telephone_number": "304-312-1192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CEDAR HILL DR",
            "city": "MC MURRAY",
            "state": "PA",
            "postal_code": "153172529",
            "telephone_number": "304-312-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "304-312-1192"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Murray, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.