Mancy Howard Jr., LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

12600 N 113TH Ave Ste B9
Youngtown, AZ 85363-1163

Phone

(602) 845-0767

Fax

(602) 715-0647

NPI assigned

Apr 8, 2020

Last updated

Apr 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Engaging Life Center

  • Multi-Specialty Clinic/Center
  • Youngtown, AZ
  • NPI 1679112619
  NPD

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1144859356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12600 N 113TH AVE STE B9",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631163",
            "telephone_number": "602-845-0767",
            "fax_number": "602-715-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 N 113TH AVE STE B9",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631163",
            "telephone_number": "602-845-0767",
            "fax_number": "602-715-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "MANCY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medicalfax@engaginglifecenter.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12600 N 113th Ave Ste B9",
            "city": "Youngtown",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853631163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kate Engels
• Alina Feliciano
• Marcia Feliciano
• Deborah Ann Gonzales
• Benjamin Handler, DPT
• Michelle Hutchison, M.C., LPC
• Innerquest LLC
• John C. Lincoln, LLC (John C. Lincoln LifeStream at Youngtown)
• John E. Cooper, D.D.S.
• Amanda E Juarbe, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.