Wilfred Massah Manyango

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

76098 Issued in TX

Practice address

1016 Dunhill LN
Forney, TX 75126-3815

Phone

(972) 697-6071

NPI assigned

Aug 30, 2021

Last updated

Aug 30, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dallas County Hospital DistrictGroup PAC ID 8325934813, 597 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dallas County Hospital District

  dba Physician and Other Providers

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1649278995
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1164190807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 DUNHILL LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263815",
            "telephone_number": "972-697-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 DUNHILL LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263815",
            "telephone_number": "972-697-6071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1648 Axe Dr",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750412714",
            "country_code": "US",
            "telephone_number": "972-697-6071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANYANGO",
        "first_name": "WILFRED",
        "middle_name": "MASSAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76098",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Anderson Lyons, M.ED
• Mary Mabasa
• Ryan Macon
• Danja Weaver Maharrey, RN, FNP
• Make a Way Transit 2 Inc
• Robyn Maples
• Marlisha's Mental Fitness LLC (Mind Haven)
• Martez Place HCS LLC (Martez Place)
• Bailey Marie Martin, DDS
• Blas Martinez

• Professional Counselor in Forney, TX
• Providers in Forney, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.

Verify at the official NPI Registry.