Active NPI
Julie Manyo, LSW
- Mental Health Counselor
- Galena, OH
National Provider Identifier
1043032659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2616 S 3 BS and K Rd
Galena, OH 43021-9757 - Phone
- (740) 924-7543
- NPI assigned
- Oct 26, 2024
- Last updated
- Oct 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
2616 S 3 BS and K Rd
Galena, OH 43021-9757
Mailing address
2502 Hyacinth LN
Columbus, OH 43235-5526
Phone (614) 595-6571
Other practice location 1
9734 Jug St NW
Pataskala, OH 43062-9746
Phone (740) 924-7543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PBJ Connections, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729900800000",
"number": "1043032659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2502 HYACINTH LN",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432355526",
"telephone_number": "614-595-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2616 S 3 BS AND K RD",
"city": "GALENA",
"state": "OH",
"postal_code": "430219757",
"telephone_number": "740-924-7543"
}
],
"practiceLocations": [
{
"address_1": "9734 Jug St NW",
"address_purpose": "LOCATION",
"city": "Pataskala",
"state": "OH",
"postal_code": "430629746",
"country_code": "US",
"telephone_number": "740-924-7543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANYO",
"first_name": "JULIE",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-26",
"last_updated": "2024-10-26",
"certification_date": "2024-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galena, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.