Organization Active NPI

Deep Dive Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cambridge, MA
National Provider Identifier
1891451381
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DEEP DIVE COUNSELING LLC
Practice address
186 Alewife Brook Pkwy # 1158
Cambridge, MA 02138-1121
Phone
(617) 675-7432
NPI assigned
Nov 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Danielle Metzger, LICSWNPI 1619501251
Title
Owner
Phone
(561) 523-6602

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

186 Alewife Brook Pkwy # 1158
Cambridge, MA 02138-1121

Mailing address

160 Alewife Brook Pkwy # 1158
Cambridge, MA 02138-1102
Phone (617) 675-7432

Other names 1

  • Deep Dive Counseling LLC Doing business as

National Provider Directory

National Provider Directory

Locations

186 Alewife Brook Pkwy
#1158
Cambridge, MA 02138
Phone (617) 675-7432

160 Alewife Brook Pkwy
#1158
Cambridge, MA 02138

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": "1636416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1891451381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ALEWIFE BROOK PKWY # 1158",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381102",
            "telephone_number": "617-675-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 ALEWIFE BROOK PKWY # 1158",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021381121",
            "telephone_number": "617-675-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP DIVE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-09",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-523-6602",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deep Dive Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deep Dive Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, MA

Sources for this page

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