Metamorphosis Counseling, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

94 Issued in WV

Legal business name

METAMORPHOSIS COUNSELING, INC

Practice address

4501 Maccorkle Ave SW
Suite 103
South Charleston, WV 25309-1444

Phone

(304) 768-1401

Fax

(304) 768-1402

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Randall Alan Clifford, MANPI 1841388550

Title

Cfo Treasurer

Phone

(304) 768-1401

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Randall Alan Clifford, LPC, LCSW

  • Mental Health Counselor
  • South Charleston, WV
  • NPI 1841388550
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174649347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2262 CIRCLE DR",
            "city": "MILTON",
            "state": "WV",
            "postal_code": "255411004",
            "telephone_number": "304-743-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 103",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-768-1401",
            "fax_number": "304-768-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CFO TREASURER",
        "authorized_official_telephone_number": "304-768-1401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "94",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ebersole Mellert, PA-C
• Robert Meraki
• Veta Merritt
• Clara Ruby Merryman
• Jordan Messinger
• Randa Meyers
• Michael L. Harris MD, LTD
• Michael L. Harris, M.D., LTD.
• Michael Sitler, MD, Inc.
• Roberta Mickey

• Mental Health Counselor in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.