Organization Active NPI

Metanoia Therapy and Consulting

  • Professional Counselor
  • Kalamazoo, MI
National Provider Identifier
1427856533
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
METANOIA THERAPY AND CONSULTING
Practice address
2280 S 11TH St Ste 238
Kalamazoo, MI 49009-1910
Phone
(719) 482-8009
NPI assigned
Mar 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Candace A Davis, LPCNPI 1285247882
Title
Mental Health Therapist
Phone
(719) 482-8009

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
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

2280 S 11TH St Ste 238
Kalamazoo, MI 49009-1910

Mailing address

6670 Pleasantview Dr
Portage, MI 49024-1035

National Provider Directory

National Provider Directory

Locations

2280 S 11th St
Ste 238
Kalamazoo, MI 49009
Phone (719) 482-8009

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": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1427856533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 PLEASANTVIEW DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490241035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 S 11TH ST STE 238",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490091910",
            "telephone_number": "719-482-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METANOIA THERAPY AND CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "719-482-8009",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.