Active NPI
Lisa A Maners, LPC-MHSP
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1134587470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3548
- Practice address
- 3383 Joffere Ave
Memphis, TN 38111 - Phone
- (901) 264-9722
- Fax
- (901) 347-1277
- NPI assigned
- Feb 1, 2016
- Last updated
- May 1, 2024
- 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 | 3548 | TN | |
| Mental Health Counselor | 101YM0800X | 3548 | TN | Primary |
Addresses
Primary practice location
3383 Joffere Ave
Memphis, TN 38111
Mailing address
1910 Madison Ave # 2113
Memphis, TN 38104-2620
Phone (901) 264-9722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241203003449 | TN | Practitioner - Mental Health Counselor | 1951837749 | Practice locations: Memphis, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1910 Madison Ave
Suite 2113
Memphis, TN 38104-2620
Phone (901) 264-9722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1134587470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1910 MADISON AVE # 2113",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042620",
"telephone_number": "901-264-9722",
"fax_number": "901-347-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3383 JOFFERE AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38111",
"telephone_number": "901-264-9722",
"fax_number": "901-347-1277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANERS",
"first_name": "LISA",
"middle_name": "A",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-01",
"last_updated": "2024-05-01",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "3548",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "3548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.