Metamorph Therapy PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

METAMORPH THERAPY PLLC

Practice address

2334 W Lawrence Ave Ste 217
Chicago, IL 60625-1032

Phone

(773) 492-0661

NPI assigned

Feb 6, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Cutting, LCPC, ATRNPI 1457731820

Title

Ceo

Phone

(773) 495-1844

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda Cutting, A.T.R., L.C.P.C.

  • Professional Counselor
  • Chicago, IL
  • NPI 1457731820
  NPD Authorized official

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

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1790548337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 N WASHTENAW AVE APT 316",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606477137",
            "telephone_number": "773-495-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W LAWRENCE AVE STE 217",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606251032",
            "telephone_number": "773-492-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "CUTTING",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-495-1844",
        "authorized_official_credential": "LCPC, ATR"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Lussi Mestousis, CRNA, APN
• Christopher John Mestrezat, M.D.
• Marek-Marsel Mesulam, MD
• Meta Modern Health LLC
• Meta Vie Incorporated
• Metanoia Methods PLLC
• William Metcalf-Doetsch, MD
• Rebecca Metcalf, OTR/L
• Jessica Lee Metelski
• Elsa Methipara

• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.