Active NPI
Kylee Ann Metz, MS, CAADC, CCTP
- Addiction (Substance Use Disorder) Counselor
- Ephrata, PA
National Provider Identifier
1184239477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 9959
- Practice address
- 1170 S State St
Ephrata, PA 17522-2601 - Phone
- (717) 859-8000
- NPI assigned
- Sep 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 9959 | PA | Primary |
Addresses
Primary practice location
1170 S State St
Ephrata, PA 17522-2601
Mailing address
509 N Water St
Lititz, PA 17543-1218
Phone (724) 674-9194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9959 | PA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599955200000",
"number": "1184239477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 N WATER ST",
"city": "LITITZ",
"state": "PA",
"postal_code": "175431218",
"telephone_number": "724-674-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 S STATE ST",
"city": "EPHRATA",
"state": "PA",
"postal_code": "175222601",
"telephone_number": "717-859-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZ",
"first_name": "KYLEE",
"middle_name": "ANN",
"credential": "MS, CAADC, CCTP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-13",
"last_updated": "2020-09-13",
"certification_date": "2020-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "9959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ephrata, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.