Organization Active NPI

Metanoia Counseling & Professional Development Services LLC

  • Mental Health Counselor
  • Erie, PA
National Provider Identifier
1609638410
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
METANOIA COUNSELING & PROFESSIONAL DEVELOPMENT SERVICES LLC
Practice address
2438 Palermo Cir
Erie, PA 16506-7208
Phone
(814) 480-0777
NPI assigned
Jan 26, 2024
Last updated
Jan 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Authorized official

Name
Keri Ann Walker, LPCNPI 1487280665
Title
Owner/Counselor
Phone
(814) 923-9374

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

2438 Palermo Cir
Erie, PA 16506-7208

Mailing address

2438 Palermo Cir
Erie, PA 16506-7208
Phone (814) 923-9374

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": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706227200000",
    "number": "1609638410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2438 PALERMO CIR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067208",
            "telephone_number": "814-923-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2438 PALERMO CIR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165067208",
            "telephone_number": "814-480-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METANOIA COUNSELING & PROFESSIONAL DEVELOPMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KERI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "814-923-9374",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.