Brenda Faye Manthei

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-18233 Issued in AZ

Practice address

1500 E Cedar Ave Ste 26&52
Flagstaff, AZ 86004-1641

Phone

(928) 773-1245

Fax

(928) 773-9429

NPI assigned

Aug 20, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1104473610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 N STEVES BLVD STE 11",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043959",
            "telephone_number": "928-526-2968",
            "fax_number": "928-526-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E CEDAR AVE STE 26&52",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860041641",
            "telephone_number": "928-773-1245",
            "fax_number": "928-773-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHEI",
        "first_name": "BRENDA",
        "middle_name": "FAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-18233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nacainc.org",
            "affiliation": "N",
            "endpointDescription": "company webpage",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "direct email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1500 E Cedar Ave Ste 26&52",
            "city": "Flagstaff",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "860041641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Ann Mahosky, M.S. CCC-SLP
• Joshua Makela, PA-C
• Emily Mammenga, MD
• Melissa Brown Mann, LPC
• Russell Rolison Mann, MA
• James Cory Manton, PT
• Sarah Marchant, RDMS, RVT
• Christopher Johann Margeson, PH.D.
• Karoline S. Mariano, RN,MSN
• Kailee Marikar

• Professional Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.