Metamorphosis Counseling and Health Center of Idaho, LLC
NPI 1790553261ActiveOrganization· Case Manager/Care Coordinator· Boise, ID
Case Manager/Care Coordinator 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 | 1790553261 |
|---|---|
| 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 |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | — | — |
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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