Anna Amelia Manley, LAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

21031875 Issued in SD

Practice address

906 W 5TH St
Canton, SD 57013-1532

Phone

(605) 251-4554

NPI assigned

Jul 18, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1043102411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131532",
            "telephone_number": "605-251-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131532",
            "telephone_number": "605-251-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "ANNA",
        "middle_name": "AMELIA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "21031875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Hult, DDS
• Michelle L Johnson, DO
• Karen Marie Knudsen, FNP - C
• Chad S Lewison, DDS
• Kaidense W Lutz, CNA
• Matthew Manley, MA. LAC. LPC-MH.
• Jane C Mutschelknaus, A.R.N.P.
• Amy M Olderbak, OT
• Robert Ronald Perkinson, PH.D.
• Leah Marcella Peterson, P.T.

• All providers in Canton, SD
• Addiction (Substance Use Disorder) Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.