Active NPI
Richard L Maners, MS
- Professional Counselor
- Rawlins, WY
National Provider Identifier
1174025324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-1895
- Practice address
- 502 W Spruce St
Rawlins, WY 82301-5548 - Phone
- (435) 760-6390
- NPI assigned
- Mar 4, 2018
- Last updated
- Jun 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-8310 | ID | MD | Professional Counselor |
| 13050268-6004 | UT | MD | Professional Counselor |
| LPC-1895 | WY | MD | Professional 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.