Individual provider Active NPI

Stephanie Estella Manin, MMFT

  • Marriage & Family Therapist
  • Kent, WA
National Provider Identifier
1174290175
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1994 Issued in TN
Practice address
325 W Gowe St
Kent, WA 98032-5892
Phone
(253) 833-7444
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1994 TN Primary
Marriage & Family Therapist 106H00000X MFT.LF.61509432 WA

Addresses

Primary practice location

325 W Gowe St
Kent, WA 98032-5892

Mailing address

325 W Gowe St
Kent, WA 98032-5892
Phone (253) 833-7444

Other practice location 1

3358 Bali St NE
Lacey, WA 98516-1406
Phone (321) 961-2097

Other practice location 2

4405 7th Ave SE
Lacey, WA 98503-1062
Phone (321) 961-2097

Other identifiers 1

IdentifierTypeStateIssuer
2285362MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20260128002830 WA Practitioner - Marriage and Family Therapist 4486132859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

325 W Gowe St
Kent, WA 98032-5892

3358 Bali St NE
Lacey, WA 98516-1406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cities Counseling and Consultation CurrentSince Dec 30, 2025 Accepting new patients
New Peaks, LLC CurrentSince Jan 1, 2024 Accepting new patients
Connect Counseling Center, LLC PastSince Aug 1, 2021 Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

325 W Gowe St
Kent, WA 98032

4405 7th Ave SE
Ste 202
Lacey, WA 98503

4405 7th Ave SE
Lacey, WA 98503
Phone (321) 961-2097

Interoperability endpoints

  • Direct secure messaging: stephanie.manin@489656322949124.direct.elationemr.com

Organizations & group practices 3

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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1174290175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W GOWE ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325892",
            "telephone_number": "253-833-7444",
            "fax_number": "253-661-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W GOWE ST",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325892",
            "telephone_number": "253-833-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3358 Bali St NE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985161406",
            "country_code": "US",
            "telephone_number": "321-961-2097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4405 7th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985031062",
            "country_code": "US",
            "telephone_number": "321-961-2097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIN",
        "first_name": "STEPHANIE",
        "middle_name": "ESTELLA",
        "credential": "MMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1994",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MFT.LF.61509432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2285362",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

Verify at the official NPI Registry.