Individual provider Active NPI

Joseph Danso Manu, LPC

  • Professional Counselor
  • Monroe, GA
National Provider Identifier
1154956688
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC011428 Issued in GA
Practice address
115 E Fambrough St Apt 123B
Monroe, GA 30655-2858
Phone
(404) 348-6224
NPI assigned
Mar 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC011428 GA Primary

Addresses

Primary practice location

115 E Fambrough St Apt 123B
Monroe, GA 30655-2858

Mailing address

115 E Fambrough St Apt 123B
Monroe, GA 30655-2858
Phone (404) 348-6224

Other practice location 1

678 Tom Brewer Rd
Loganville, GA 30052-4005
Phone (770) 554-3599

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jmanu@fathercareprayer.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240705001841 GA Practitioner - Mental Health Counselor 8729522412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC011428GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince May 28, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1154956688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E FAMBROUGH ST APT 123B",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552858",
            "telephone_number": "404-348-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E FAMBROUGH ST APT 123B",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552858",
            "telephone_number": "404-348-6224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "678 Tom Brewer Rd",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300524005",
            "country_code": "US",
            "telephone_number": "770-554-3599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANU",
        "first_name": "JOSEPH",
        "middle_name": "DANSO",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jmanu@fathercareprayer.org",
            "affiliation": "N",
            "endpointDescription": "Email Address",
            "address_1": "678 Tom Brewer Rd",
            "city": "Loganville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300524005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.