Jean Manz Coaching, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0101581 Issued in NM

Legal business name

JEAN MANZ COACHING, LLC

Practice address

3510 Messina Dr
Farmington, NM 87402-4782

Phone

(505) 716-7995

NPI assigned

Sep 6, 2017

Last updated

Mar 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Madeleine Manz, LMFTNPI 1649503293

Title

Owner

Phone

(505) 716-7995

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Madeleine Manz, LMFT

  • Marriage & Family Therapist
  • Farmington, NM
  • NPI 1649503293
  NPD Authorized official

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583193600000",
    "number": "1164940599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 SUNRISE CIR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019299",
            "telephone_number": "505-716-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MESSINA DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024782",
            "telephone_number": "505-716-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN MANZ COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A",
        "authorized_official_last_name": "MANZ",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "MADELEINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-716-7995",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "0101581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meho Jasarevic, M.D.
• Jasper and Associates, LLC
• Heidi Jasper-Petrozzino
• Rebecca G Jasper, MSW ACSW LISW
• Araceli Jauregui Aguilera, FNP
• Amirah Jefferson
• Jeffrey S. Grant, M.D., P.C.
• Adam Jensen, PA
• Leighanne Jensen, RN
• Maria Celina Jensen, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Farmington, NM
• Providers in Farmington, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.