Active NPI
Magdalyn M Metz, MFA
- Marriage & Family Therapist
- Marion, IN
National Provider Identifier
1235589771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85000247A
- Practice address
- 5230 S Western Ave
Marion, IN 46953-5778 - Phone
- (765) 674-2208
- Fax
- (765) 674-3273
- NPI assigned
- Jun 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85000247A | IN | Primary |
Addresses
Primary practice location
5230 S Western Ave
Marion, IN 46953-5778
Mailing address
5230 S Western Ave
Marion, IN 46953-5778
Phone (765) 674-2208
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 Fine Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85000247A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeview Wesleyan Church | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465948800000",
"number": "1235589771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 S WESTERN AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469535778",
"telephone_number": "765-674-2208",
"fax_number": "765-674-3273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 S WESTERN AVE",
"city": "MARION",
"state": "IN",
"postal_code": "469535778",
"telephone_number": "765-674-2208",
"fax_number": "765-674-3273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZ",
"first_name": "MAGDALYN",
"middle_name": "M",
"credential": "MFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-15",
"last_updated": "2016-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "85000247A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IN
- James R Mercho, D.D.S.
- Meridian Health Services Corp. (Meridian Health Services)
- Meridian Health Services Corp. (Meridian Health Services)
- Rachel Messer, RBT
- Dennis Earl Messersmith
- Manasseh Ifeanyi Michael
- Annalise Kathleen Michaud, MSN, PMHNP-BC
- Midwest Allergy & Sinus Center, LLC
- Midwest Eye Consultants, P.C. (Cataract & Laser Institute)
- Midwest Eye Consultants, P.C. (Midwest Eye Consultants #02)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.