Individual provider Active NPI

David L Manning, LMHC- MH18227

  • Mental Health Counselor
  • Pompano Beach, FL
National Provider Identifier
1154931210
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18227 Issued in FL
Practice address
4311 Crystal Lake Dr
203
Pompano Beach, FL 33064-3306
Phone
(954) 254-6389
Fax
(954) 245-2710
NPI assigned
Aug 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH18227 FL Primary

Addresses

Primary practice location

4311 Crystal Lake Dr
203
Pompano Beach, FL 33064-3306

Mailing address

3907 N Federal Hwy # 271
Pompano Beach, FL 33064-6042
Phone (954) 254-6389

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DaveM@TogetherWeGrowInc.Org Direct

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

LicenseStateTypeSpecialty
MH18227FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Together We Grow Inc CurrentSince Jan 17, 2021 Accepting new patients
Dave Manning Enterprises LLC Mental Health CurrentSince Dec 13, 2020 Accepting new patients

Locations

3907 N Federal Hwy
Pompano Beach, FL 33064
Phone (954) 461-8624

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1154931210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3907 N FEDERAL HWY # 271",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330646042",
            "telephone_number": "954-254-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 CRYSTAL LAKE DR",
            "address_2": "203",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643306",
            "telephone_number": "954-254-6389",
            "fax_number": "954-245-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "LMHC- MH18227",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DaveM@TogetherWeGrowInc.Org",
            "affiliation": "Y",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3907 N Federal Hwy Ste 271",
            "city": "Pompano Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330646042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.