Mary Lynn Manuel, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2648 Issued in WV

Practice address

121 Simpson St
Morgantown, WV 26501-5921

Phone

(681) 285-1133

NPI assigned

Feb 21, 2022

Last updated

Feb 21, 2022By the provider in NPPES

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

Practice roles

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.

• Everflow Healing Arts LLC

  • Community/Behavioral Health Agency
  • Clarksburg, WV
  • NPI 1649953779
  NPD

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1063167716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PHEASANT RIDGE RD",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SIMPSON ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265015921",
            "telephone_number": "681-285-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "MARY",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "2648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rahul Mannan, MD
• Julie Violet Mansfield, APRN
• Samantha J Manson, PHARMD
• Suliman Mansour, MD
• Barry Manuel
• Olivia Manzano
• Michele M Maouad, MD
• Andie Lynne Mapel, DO
• Gary D Marano, M.D.
• Margaret Jane Marashian, NP-C

• Counselor in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.