Metamorphosis Counseling Services, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

000883 Issued in CT

Legal business name

METAMORPHOSIS COUNSELING SERVICES, LLC

Practice address

106 Farmington Ave Ste 2B
New Britain, CT 06053-2977

Phone

(860) 902-7050

Fax

(860) 902-7050

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Dennisse Vazquez, MSW, LADCNPI 1396944138

Title

Licensed Drug and Alcohol Counselor

Phone

(860) 902-7050

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dennisse Vazquez, MSW, LADC

  • Addiction (Substance Use Disorder) Counselor
  • New Britain, CT
  • NPI 1396944138
  NPD (past) Authorized official

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1871003293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FARMINGTON AVE STE 2B",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532977",
            "telephone_number": "860-902-7050",
            "fax_number": "860-902-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 FARMINGTON AVE STE 2B",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060532977",
            "telephone_number": "860-902-7050",
            "fax_number": "860-902-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "DENNISSE",
        "authorized_official_title_or_position": "LICENSED DRUG AND ALCOHOL COUNSELOR",
        "authorized_official_telephone_number": "860-902-7050",
        "authorized_official_credential": "MSW, LADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008038649",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Meo
• Alexis Mercado, LCSW
• Coralys Marie Mercado, M.A
• Meghan Merigold
• Barbara Lynn Messing, LCSW
• Benjamin Metcalf
• Milo Florian Metzler
• Michael Legeyt MD LLC
• Allison Michaud
• Bethany Michaud, LCSW

• Addiction (Substance Use Disorder) Counselor in New Britain, CT
• Providers in New Britain, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.