Active NPI
Deep Dive Counseling LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cambridge, MA
National Provider Identifier
1891451381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Danielle Metzger, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Social Worker
- Somerville, MA
- NPI 1619501251
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.