NPIMap

Organization Active NPI

Metanoia Sage PLLC

Doing business as Metanoia Mantra

  • Massage Therapist
  • Killeen, TX
National Provider Identifier
1790587236
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
METANOIA SAGE PLLC
Doing business as
Metanoia Mantra
Metanoia Mantra Holistic Wellness
Practice address
1010 W Jasper Dr Ste 6
Killeen, TX 76542-1328
Phone
(254) 232-6522
Fax
(254) 488-3110
NPI assigned
Mar 25, 2025
Last updated
Nov 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Authorized official

Name
Latoya Tancrede, LMT, MMPNPI 1497575096
Title
Manager/Licensed Massage Therapist
Phone
(512) 619-5191

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
Massage Therapist 225700000X Primary

Addresses

Primary practice location

1010 W Jasper Dr Ste 6
Killeen, TX 76542-1328

Mailing address

PO Box 690224
Killeen, TX 76549-0004

Other names 2

  • Metanoia Mantra Doing business as
  • Metanoia Mantra Holistic Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1509 W Stan Schlueter Loop
Killeen, TX 76549
Phone (254) 680-7774

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": "1742860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1790587236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690224",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765490004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR STE 6",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421328",
            "telephone_number": "254-232-6522",
            "fax_number": "254-488-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METANOIA SAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "TANCREDE",
        "authorized_official_first_name": "LATOYA",
        "authorized_official_title_or_position": "MANAGER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "512-619-5191",
        "authorized_official_credential": "LMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metanoia Mantra",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metanoia Mantra",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Metanoia Mantra Holistic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.