Organization Active NPI

Metanoia Counseling PLLC

  • Clinical Social Worker
  • Tucson, AZ
National Provider Identifier
1801339353
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-12863 Issued in AZ
Legal business name
METANOIA COUNSELING PLLC
Practice address
3037 W Ina Rd
Suite 101
Tucson, AZ 85741-2290
Phone
(520) 353-3137
Fax
(520) 353-3137
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Elizabeth Hartung, LCSWNPI 1003018649
Title
Therapist
Phone
(520) 353-3137

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW-12863 AZ Primary

Addresses

Primary practice location

3037 W Ina Rd
Suite 101
Tucson, AZ 85741-2290

Mailing address

3037 W Ina Rd
Suite 101
Tucson, AZ 85741-2290
Phone (520) 353-3137

National Provider Directory

National Provider Directory

Locations

3037 W Ina Rd
Ste 101
Tucson, AZ 85741
Phone (520) 353-3137

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": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1801339353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3037 W INA RD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412290",
            "telephone_number": "520-353-3137",
            "fax_number": "520-353-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3037 W INA RD",
            "address_2": "SUITE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412290",
            "telephone_number": "520-353-3137",
            "fax_number": "520-353-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METANOIA COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "HARTUNG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "520-353-3137",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-12863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.