Metamorphosis Counseling and Consultation, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

METAMORPHOSIS COUNSELING AND CONSULTATION, LLC

Practice address

388 State St Ste 340
Salem, OR 97301-3536

Phone

(971) 446-1306

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Christina Henderson-Bassett, LCSWNPI 1104355288

Title

Owner

Phone

(971) 446-1306

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.

• Christina Henderson-Bassett, LCSW, LMSW

  • Clinical Social Worker
  • Salem, OR
  • NPI 1104355288
  NPD Authorized official

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1881270130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 340",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013536",
            "telephone_number": "971-446-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 STATE ST STE 340",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973013536",
            "telephone_number": "971-446-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING AND CONSULTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "HENDERSON-BASSETT",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-446-1306",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500729525",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Lynn Mertes, LCSW, CADC I
• Edgar Merzenich, D.M.D.
• Celina A Mesa, M.S ED, M.P.H
• John Messer, MD
• Judith Ann Messoline, LPTA
• Bridget Anne Metcalf, PA-C
• Laura E Metzger, M.D.
• Urvi Mevar, M.D.
• Beverly J. Meyer, PMHNP
• Cathy Meyer, OT

• Clinical Social Worker in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Social Worker in Oregon

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