Organization Active NPI

Metta Counseling

  • Professional Counselor
  • Normal, IL
National Provider Identifier
1114485158
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
METTA COUNSELING
Practice address
1100 Beech St Ste 7a
Normal, IL 61761-1499
Phone
(309) 287-9722
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Authorized official

Name
Michelle Staley, LCPC
Title
Licensed Clinical Professional Coun
Phone
(309) 287-9722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1100 Beech St Ste 7a
Normal, IL 61761-1499

Mailing address

1100 Beech St Ste 7a
Normal, IL 61761-1499
Phone (309) 287-9722

National Provider Directory

National Provider Directory

Locations

1100 Beech St
Ste 7A
Normal, IL 61761
Phone (309) 287-9722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1114485158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST STE 7A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611499",
            "telephone_number": "309-287-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BEECH ST STE 7A",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611499",
            "telephone_number": "309-287-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METTA COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "STALEY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PROFESSIONAL COUN",
        "authorized_official_telephone_number": "309-287-9722",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.