Individual provider Active NPI

Richard L Maners, MS

  • Professional Counselor
  • Rawlins, WY
National Provider Identifier
1174025324
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-1895 Issued in WY
Practice address
502 W Spruce St
Rawlins, WY 82301-5548
Phone
(435) 760-6390
NPI assigned
Mar 4, 2018
Last updated
Jun 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LCPC-8310 ID
Professional Counselor 101YP2500X 13050268-6004 UT
Professional Counselor 101YP2500X LPC-1895 WY Primary

Addresses

Primary practice location

502 W Spruce St
Rawlins, WY 82301-5548

Mailing address

PO Box 6716
North Logan, UT 84341-6716
Phone (435) 760-6390

Other practice location 1

388 Cricket Circle
Garden City, UT 84028
Phone (435) 760-6390

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LCPC-8310IDMDProfessional Counselor
13050268-6004UTMDProfessional Counselor
LPC-1895WYMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1174025324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6716",
            "city": "NORTH LOGAN",
            "state": "UT",
            "postal_code": "843416716",
            "telephone_number": "435-760-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W SPRUCE ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015548",
            "telephone_number": "435-760-6390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "388 Cricket Circle",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "UT",
            "postal_code": "84028",
            "country_code": "US",
            "telephone_number": "435-760-6390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANERS",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-04",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-8310",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "13050268-6004",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "LPC-1895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.