Aimee Metzger Psychotherapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AIMEE METZGER PSYCHOTHERAPY LLC

Doing business as

Aimee Metzger Psychotherapy LLC

Practice address

405 E Forest St Ste 106
Oconomowoc, WI 53066-3707

Phone

(262) 490-3894

NPI assigned

Nov 22, 2019

Last updated

Nov 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aimee Metzger, LCSWNPI 1174000764

Title

Member/Provider

Phone

(262) 804-7729

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Aimee Metzger Psychotherapy LLC Doing business as

Electronic endpoints 1

Locations

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.

• Aimee M Metzger, LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1174000764
  NPD Authorized official

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1477199602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 E FOREST ST STE 106",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663707",
            "telephone_number": "262-804-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 E FOREST ST STE 106",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530663707",
            "telephone_number": "262-490-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIMEE METZGER PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "AIMEE",
        "authorized_official_title_or_position": "MEMBER/PROVIDER",
        "authorized_official_telephone_number": "262-804-7729",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10080061",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com",
            "affiliation": "N",
            "endpointDescription": "messaging within HIPPA compliant practice software, client portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 E Forest St Ste 106",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530663707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aimee Metzger Psychotherapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aimee Metzger Psychotherapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra A Adamus, CLINICAL SUBSTANCE A
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• Kiah Allen, APNP

• Clinical Social Worker in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.