Organization Active NPI

Metamorphosis Counseling & Consulting, LLC

  • Mental Health Counselor
  • Irwinton, GA
National Provider Identifier
1386467348
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
METAMORPHOSIS COUNSELING & CONSULTING, LLC
Practice address
113 Asbell St # 625
Irwinton, GA 31042-2556
Phone
(478) 233-6241
Fax
(478) 233-6241
NPI assigned
Nov 6, 2024
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Shameka Walker, LPCNPI 1811387335
Title
Owner
Phone
(478) 233-6241

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

113 Asbell St # 625
Irwinton, GA 31042-2556

Mailing address

113 Asbell St # 625
Irwinton, GA 31042-2556
Phone (478) 233-6241

Other names 1

  • MEtamorphosis Counseling & Consulting, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1386467348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ASBELL ST # 625",
            "city": "IRWINTON",
            "state": "GA",
            "postal_code": "310422556",
            "telephone_number": "478-233-6241",
            "fax_number": "478-233-6241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ASBELL ST # 625",
            "city": "IRWINTON",
            "state": "GA",
            "postal_code": "310422556",
            "telephone_number": "478-233-6241",
            "fax_number": "478-233-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SHAMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-233-6241",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEtamorphosis Counseling & Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Irwinton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.