Metamorphosis Counseling and Health Center of Idaho, LLC
NPI 1043088511ActiveOrganization· Peer Specialist· Boise, ID
Peer Specialist in Boise, Idaho, registered in NPPES in December 2023, part of 1235791997. The authorized official on file is Crystal Michelle Miller, BS, Executive Director.
Overview
| NPI | 1043088511 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | 1235791997 |
| NPI issued | Dec 14, 2023 |
| Last updated in NPPES | Dec 14, 2023 |
| Certified by provider | Dec 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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