Metamorphosis Counseling & Consulting LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

E0700886 Issued in OH

Legal business name

METAMORPHOSIS COUNSELING & CONSULTING LLC

Doing business as

Metamorphosis Counseling & Consulting

Practice address

2020 Brice Rd Ste 110
Reynoldsburg, OH 43068-3448

Phone

(614) 300-3015

Fax

(614) 344-7548

NPI assigned

Jun 6, 2011

Organization subpart

No

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

Authorized official

Name

Darrin Peterson, M.A. M.ED, LPCC-SNPI 1912036575

Title

Ceo

Phone

(614) 300-3015

Specialties & licenses 1

Addresses

Other names 2

• Metamorphosis Counseling & Consulting Doing business as
• Darrin Peterson Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Darrin Peterson, LPCC/LSW

  • Professional Counselor
  • Columbus, OH
  • NPI 1912036575
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702080000000",
    "number": "1821382078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BRICE RD STE 110",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683448",
            "telephone_number": "614-300-3015",
            "fax_number": "614-344-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BRICE RD STE 110",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683448",
            "telephone_number": "614-300-3015",
            "fax_number": "614-344-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2023-12-09",
        "certification_date": "2023-12-09",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "DARRIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-300-3015",
        "authorized_official_credential": "M.A. M.ED, LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0700886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metamorphosis Counseling & Consulting",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Darrin Peterson",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Darrin Peterson",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Reynoldsburg, OH
• Providers in Reynoldsburg, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.