METAMORPHOSIS PSYCHOTHERAPY & COUNSELING (NPI# 1053858365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053858365 |
| Entity Type | Organization |
| Organization Name | METAMORPHOSIS PSYCHOTHERAPY & COUNSELING |
| Practice Address |
4008 Lady Palm Ct Tampa FL 33624-2383 |
| Practice Telephone | 8137777407 |
| Mailing Telephone | 8137777407 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | JENNIFER BETANCUR (THERAPIST) |
| Authorized Official Telephone | 8137777407 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | SW12475 | FL | Agencies |
| Street Address |
4008 LADY PALM CT |
| City | TAMPA |
| State | FL |
| Zip Code | 33624-2383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265788012 | Veteram Affairs- Bay Pines | Military Hospital | 4008 Lady Palm Ct, Tampa, FL 33624-2383 | 2012-07-31 |
| 1164815023 | Jennifer Betancur | Social Worker | 4008 Lady Palm Ct, Tampa, FL 33624-2383 | 2015-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617380 | Transforming Treasures LLC | Behavioral Analyst | 4810 Centerbrook Ct, Tampa, FL 33624 | 2020-07-30 |
| 1467097642 | Sherryl Lynn Johnson-hanna | Dietitian, Registered | 4904 Rambling Rose Place, Tampa, FL 33624 | 2019-11-12 |
| 1679125926 | Nurse Practitioner On The Go | In Home Supportive Care | 16411 Oak Manor Drive, Tampa, FL 33624 | 2019-07-16 |
| 1427547587 | Sylicia Marks | Counselor | 4105 Brentwood Park Cir, Tampa, FL 33624 | 2018-05-04 |
| 1407352917 | Shelley Von Hightower | Pharmacist | 5008 W. Linebaugh Ave, Suite 35, Tampa, FL 33624 | 2018-04-03 |
| 1972002178 | Zachary Winterberg | Specialist/Technologist | 3821 Northgreen Ave Apt 1407, Tampa, FL 33624 | 2018-02-03 |
| 1013423268 | Beyond Care Home Health LLC | Home Health | 3903 Northdale Bvld, 100e, Tampa, FL 33624 | 2017-12-26 |
| 1285148841 | Gary Donald Kociszewski Jr. | Behavior Technician | 4920 Traskwood Ct, Tampa, FL 33624 | 2017-11-18 |
| 1932611944 | Valerie Lauren Martinez | Behavior Technician | 14039 Wolcott Dr, Tampa, FL 33624 | 2017-10-31 |
| 1073038287 | Mesfin T Araya | Non-emergency Medical Transport (VAN) | 4403 Akita Dr, Tampa, FL 33624 | 2017-08-09 |
| Find all providers in zip 33624 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661446 | Trinity Mental Health Inc | Community/Behavioral Health | 4236 W Linebaugh Ave, Tampa, FL 33624-5241 | 2020-08-28 |
| 1932718467 | Diane G .hill, Phd | Community/Behavioral Health | 1205 N Franklin St Ste 328, Tampa, FL 33602-3313 | 2020-07-30 |
| 1285258293 | Essential Mental Health Inc | Community/Behavioral Health | 4311 W Waters Ave Ste 304, Tampa, FL 33614-2194 | 2020-06-05 |
| 1871114801 | Resurgence Tampa Bay LLC | Community/Behavioral Health | 3808 Gunn Hwy, Tampa, FL 33618-8757 | 2020-04-30 |
| 1841819489 | Tri-lyfe Support Services Inc | Community/Behavioral Health | 3919 E Fern St Apt 4, Tampa, FL 33610-1609 | 2020-04-14 |
| 1508497694 | Lotus Community Corp | Community/Behavioral Health | 5927 Webb Rd, Tampa, FL 33615-3219 | 2020-01-28 |
| 1457992463 | Elevate To Achieve LLC | Community/Behavioral Health | 1208 E Kennedy Blvd Unit 912, Tampa, FL 33602-3537 | 2019-10-01 |
| 1285281899 | Bridges Behavioral Wellness LLC | Community/Behavioral Health | 2746 N Florida Ave, Tampa, FL 33602-1522 | 2019-08-20 |
| 1487218426 | Alintana LLC | Community/Behavioral Health | 4410 Melton Ave, Tampa, FL 33614-7218 | 2019-04-25 |
| 1679032379 | 5 Star Cares, Inc | Community/Behavioral Health | 1101 Ray Charles Blvd Unit 1505, Tampa, FL 33602-3019 | 2019-03-13 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.