Organization Active NPI

Metamorphosis Life Coaching Lounge LLC

  • Marriage & Family Therapist
  • Reno, NV
National Provider Identifier
1548106586
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
METAMORPHOSIS LIFE COACHING LOUNGE LLC
Practice address
8455 Offenhauser Dr Apt 1218
Reno, NV 89511-1754
Phone
(916) 275-4567
NPI assigned
Apr 23, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Dr. Keasha Walton-EllisNPI 1720213374
Title
Therapist
Phone
(916) 275-4567

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

8455 Offenhauser Dr Apt 1218
Reno, NV 89511-1754

Mailing address

8455 Offenhauser Dr Apt 1218
Reno, NV 89511-1754
Phone (916) 275-4567

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.

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1548106586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 OFFENHAUSER DR APT 1218",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111754",
            "telephone_number": "916-275-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 OFFENHAUSER DR APT 1218",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111754",
            "telephone_number": "916-275-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS LIFE COACHING LOUNGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A",
        "authorized_official_last_name": "WALTON-ELLIS",
        "authorized_official_first_name": "KEASHA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "916-275-4567",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.