Active NPI
Anne V Mann, LMFT
- Marriage & Family Therapist
- Phoenix, AZ
National Provider Identifier
1124263090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT10189
- Practice address
- 2415 E Camelback Rd Ste 781
Phoenix, AZ 85016-4288 - Phone
- (480) 242-1999
- NPI assigned
- Dec 8, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT10189 | AZ | Primary |
Addresses
Primary practice location
2415 E Camelback Rd Ste 781
Phoenix, AZ 85016-4288
Mailing address
PO Box 27866
Tempe, AZ 85285-7866
Phone (480) 242-1999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124263090 | Medicaid | AZ |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT10189 | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552780800000",
"number": "1124263090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27866",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852857866",
"telephone_number": "480-242-1999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 E CAMELBACK RD STE 781",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164288",
"telephone_number": "480-242-1999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "ANNE",
"middle_name": "V",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-08",
"last_updated": "2019-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LMFT10189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124263090",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.