Mindwise Therapy and Mental Health Consultation LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MINDWISE THERAPY AND MENTAL HEALTH CONSULTATION LLC

Practice address

3268 Jefferson Ave
Cincinnati, OH 45220-2220

Phone

(513) 479-1182

NPI assigned

Apr 17, 2024

Organization subpart

No

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

Authorized official

Name

Krystn Metzger, CSWNPI 1417719071

Title

CSW

Phone

(513) 479-1182

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.

• Krystn Metzger, LISW-S

  • Clinical Social Worker
  • Cincinnati, OH
  • NPI 1417719071
  NPD Authorized official

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1184478802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3268 JEFFERSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202220",
            "telephone_number": "513-479-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3268 JEFFERSON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452202220",
            "telephone_number": "513-479-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWISE THERAPY AND MENTAL HEALTH CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "KRYSTN",
        "authorized_official_title_or_position": "CSW",
        "authorized_official_telephone_number": "513-479-1182",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Elevation Counseling and Coaching, LLC
• Victoria Minda
• Mindful Youth
• Tanya Mindhardt
• Carmelisa Mindrum, LPC
• Victor J Minella, CDCA
• Eugene A Minevich, M.D.
• Justin Michael Minges, LSW
• Patrick George Minges, M.D.
• Rebecca M Minges, CT

• Clinical Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.