Individual provider Active NPI

Michael McManus, LPC, LSATP, LMHC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1144531302
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006676 Issued in VA
Practice address
6603 Irongate SQ
North Chesterfield, VA 23234-6081
Phone
(804) 743-0960
Fax
(804) 743-1175
NPI assigned
Jun 23, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0718000280 VA
Mental Health Counselor 101YM0800X MH 7577 FL
Professional Counselor 101YP2500X 0701006676 VA Primary

Addresses

Primary practice location

6603 Irongate SQ
North Chesterfield, VA 23234-6081

Mailing address

6603 Irongate SQ
North Chesterfield, VA 23234-6081
Phone (804) 743-0960

Other practice location 1

6175 NW 153rd St
Ste. 404
Miami Lakes, FL 33014-2435
Phone (305) 558-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240513002477 VA Practitioner - Mental Health Counselor 7416398136 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

6603 Irongate SQ
North Chesterfield, VA 23234-6081
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0718000280VAMDAddiction (Substance Use Disorder) Counselor
MH 7577FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center Professional CurrentSince Jan 9, 2024 Accepting new patients
Institute for Family Therapy Inc PastSince Aug 22, 2018 Accepting new patients

Locations

6603 Irongate Sq
North Chesterfield, VA 23234

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144531302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6603 IRONGATE SQ",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346081",
            "telephone_number": "804-743-0960",
            "fax_number": "804-743-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6603 IRONGATE SQ",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232346081",
            "telephone_number": "804-743-0960",
            "fax_number": "804-743-1175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6175 NW 153rd St",
            "address_2": "Ste. 404",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330142435",
            "country_code": "US",
            "telephone_number": "305-558-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC, LSATP, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0718000280",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 7577",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.