Active NPI
Catherine Demartin Manning, LPC
- Mental Health Counselor
- Washington, NC
National Provider Identifier
1134112758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3893
- Practice address
- 408 E 11TH St
Washington, NC 27889-3719 - Phone
- (252) 975-2027
- Fax
- (252) 975-3483
- NPI assigned
- Aug 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3893 | NC | |
| Mental Health Counselor | 101YM0800X | 3893 | NC | Primary |
Addresses
Primary practice location
408 E 11TH St
Washington, NC 27889-3719
Mailing address
408 E 11TH St
Washington, NC 27889-3719
Phone (252) 975-2027
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257897 | Other | MHN | |
| 572727 | Other | TRICARE | |
| 6102016 | Medicaid | NC | |
| 572727 | Other | MAGELLAN | |
| 130NA | Other | BCBS | |
| 20867720 | Other | CIGNA | |
| 7112370 | Other | AETNA |
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 |
|---|---|---|---|
| 3893 | NC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pamlico Counseling PLLC | Mental Health | Current | Accepting new patients |
Locations
408 E 11th St
Washington, NC 27889
Phone (252) 975-2027
105 E 3rd St
Washington, NC 27889
Phone (252) 362-9092
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.
-
- Community/Behavioral Health Agency
- Washington, NC
- NPI 1609885664
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1134112758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 E 11TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893719",
"telephone_number": "252-975-2027",
"fax_number": "252-975-3483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 E 11TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893719",
"telephone_number": "252-975-2027",
"fax_number": "252-975-3483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "CATHERINE",
"middle_name": "DEMARTIN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-30",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "3893",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "257897",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "572727",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102016",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "572727",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "130NA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "20867720",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7112370",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.