Organization Active NPI

Meta Mental Health LLC

  • Professional Counselor
  • Miami, OK
National Provider Identifier
1235867607
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
META MENTAL HEALTH LLC
Practice address
218 E Central Ave Ste a
Miami, OK 74354-7013
Phone
(918) 919-3298
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Carla Wolf, LPCNPI 1568914612
Title
Therapist
Phone
(417) 621-5965

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

218 E Central Ave Ste a
Miami, OK 74354-7013

Mailing address

218 E Central Ave Ste a
Miami, OK 74354-7013
Phone (918) 919-3298

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL metamentalhealthllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220001368 OK Part B Supplier - Clinic/Group Practice 2567806490 Receives reassigned benefits from 4 practitioners
Practice locations: Miami, OK

National Provider Directory

National Provider Directory

Locations

218 E Central Ave
Ste A
Miami, OK 74354
Phone (918) 919-3298

Practitioners & affiliated clinicians

Practitioners 4

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": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1235867607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E CENTRAL AVE STE A",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743547013",
            "telephone_number": "918-919-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E CENTRAL AVE STE A",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743547013",
            "telephone_number": "918-919-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "META MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "417-621-5965",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "metamentalhealthllc.com",
            "affiliation": "N",
            "address_1": "218 E Central Ave Ste A",
            "city": "Miami",
            "state": "OK",
            "country_code": "US",
            "postal_code": "743547013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.