Marcey Lynn Mettica, PHD, LPC-S, RPT-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

68037 Issued in TX

Practice address

3067 Falcon Rd
Prosper, TX 75078-8825

Phone

(214) 914-1018

Fax

(972) 346-2089

NPI assigned

Jun 21, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1629417704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 FALCON RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788825",
            "telephone_number": "214-914-1018",
            "fax_number": "972-346-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 FALCON RD",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788825",
            "telephone_number": "214-914-1018",
            "fax_number": "972-346-2089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Prosper",
            "state": "TX",
            "postal_code": "750782973",
            "country_code": "US",
            "telephone_number": "214-914-1018",
            "fax_number": "972-346-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METTICA",
        "first_name": "MARCEY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC-S, RPT-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Prosper, TX
• Providers in Prosper, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.