NPI Code Detail JSON Logo

1821580093 NPI number — METTA COUNSELING INC

NPI Number: 1821580093
Health Care Provider/Practitioner: METTA COUNSELING INC

Information about “1821580093” NPI (METTA COUNSELING INC) exists in 1821580093 in HTML format HTML  |  1821580093 in plain Text format TXT  |  1821580093 in PDF (Portable Document Format) PDF  |  1821580093 in an XML format XML  formats.

NPI Number : 1821580093 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821580093",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "METTA COUNSELING INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1805 BEECH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WILMINGTON",
    "MailingAddressStateName": "DE",
    "MailingAddressPostalCode": "19805-3838",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "302-983-9585",
    "MailingAddressFaxNumber": "302-483-7945",
    "FirstLinePracticeLocationAddress": "504 S CLAYTON ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WILMINGTON",
    "PracticeLocationAddressStateName": "DE",
    "PracticeLocationAddressPostalCode": "19805-4211",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "302-483-7949",
    "PracticeLocationAddressFaxNumber": "302-483-7945",
    "EnumerationDate": "06/04/2018",
    "LastUpdateDate": "09/20/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCNEMAR",
    "AuthorizedOfficialFirstName": "JESSICA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER/COUNSELOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPCMH",
    "AuthorizedOfficialTelephoneNumber": "302-483-7949",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": "PC-0000872",
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "261QM0850X",
          "TaxonomyName": "Adult Mental Health Clinic/Center",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "DE",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.