Metamorphosis Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

METAMORPHOSIS COUNSELING

Practice address

1403 Blackstone St
Bloomington, IL 61701-2665

Phone

(309) 612-8221

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan L Plezia, LCPCNPI 1689208241

Title

Owner

Phone

(309) 612-8221

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan L Plezia, MA LPC

  • Mental Health Counselor
  • Normal, IL
  • NPI 1689208241
  NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1912769605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 BLACKSTONE ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012665",
            "telephone_number": "309-612-8221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 BLACKSTONE ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012665",
            "telephone_number": "309-612-8221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A",
        "authorized_official_last_name": "PLEZIA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-612-8221",
        "authorized_official_credential": "LCPC"
    },
    "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": []
}

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• Kaitlyn E Merrick
• Stacey Merritt, P.T.
• Elizabeth Mester, MS
• Paul Meuth
• Joseph E. Meyer
• Adena Beth Meyers, PH.D.
• Haley Lynn Meyers, PA-C
• Justin Meyers, PHARM D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.