NPI age
6 years
Enumerated 2019-07-02
● Active Type 2 · Organization
Subpart
Metamorphosis Counseling And Health Center Of Idaho, Llc
Metamorphosis Counseling And Health Center Of Idaho, Llc is 1 of 326 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 5 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Miller
Executive Director/owner
Last NPPES update
2025-11-19
Source: monthly bulk 2026-05
How this organization compares
Across 326 active clinic/center providers in Idaho.
NPI age
6 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
5
In the 19% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-07Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
10108 W Overland Rd # A
Boise, ID 837091428
Mailing address
10108 W Overland Rd # A
Boise, ID 837091428
Authorized official
Crystal Michelle Miller, BS
Executive Director/owner
📞 2083761532
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Cheryl Baker, LCPC Counselor NPI 1568791283
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Case Manager/Care CoordinatorA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
-
Community Health WorkerCommunity health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language,...
-
Community/Behavioral HealthA private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
-
CounselorDefinition to come...
-
Peer SpecialistIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 601398110 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of 1235791997.
Provyx · Custom healthcare lists
Need all 326 Clinic/Center providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.