Lora Jeanette Manders, MA, LLPC, CAADC, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601008012 Issued in MI

Practice address

1200 N Main St
Adrian, MI 49221-1759

Phone

(517) 263-1800

NPI assigned

Jul 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Michigan Medical School, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Family Medical Center of Michigan IncGroup PAC ID 2769575653, 31 clinicians

Acpc PLLCGroup PAC ID 4981947850, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adriancounselingandpsychiatricclinic.loramanders@153442.advancedmd-direct.com

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.

• Acpc PLLC

  • Physician Assistant
  • Adrian, MI
  • NPI 1831658483
  Medicare reassignment Care Compare group
• Family Medical Center of Michigan,Inc

  • Federally Qualified Health Center (FQHC)
  • Temperance, MI
  • NPI 1265591812
  Medicare reassignment Care Compare group
• Emma L. Bixby Medical Center

  • General Acute Care Hospital
  • Adrian, MI
  • NPI 1972564730
  Medicare reassignment NPD
• Bixby Hospital

  • Clinical Medical Laboratory
  • Adrian, MI
  • NPI 1407275696
  NPD (past)
• Family Medical Center of Michigan,Inc

  • Federally Qualified Health Center (FQHC)
  • Hudson, MI
  • NPI 1932960465
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Emma L. Bixby Medical Center

  • General Acute Care Hospital
  • Adrian, MI
  • NPI 1972564730
  Care Compare affiliation

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1194133082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 LEWIS AVE",
            "city": "TEMPERANCE",
            "state": "MI",
            "postal_code": "481829300",
            "telephone_number": "734-847-3802",
            "fax_number": "734-850-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211759",
            "telephone_number": "517-263-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 N Maple Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "MI",
            "postal_code": "492471149",
            "country_code": "US",
            "telephone_number": "734-847-3802",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6869 S Occidental Rd",
            "address_purpose": "LOCATION",
            "city": "Tecumseh",
            "state": "MI",
            "postal_code": "492869784",
            "country_code": "US",
            "telephone_number": "517-423-4777",
            "fax_number": "517-423-7257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDERS",
        "first_name": "LORA",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC, CAADC, PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401010851",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-02189",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194133082",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M35150147",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Janess Maddox, DC
• Magnum Health and Rehab of Adrian LLC
• Main St Urgent Care Clinic and Walk in Clinic PC
• Daniel Malcolm
• Justice L Manchester, LLMSW
• Gloria Danyale Manica
• Nicole Juliana Elizabeth Mannion, LMT
• Amy Marie Mansfield, BS
• Salah Eldein Mansour, PA-C
• Angela Marie Manwaring, PT

• Physician Assistant in Adrian, MI
• Providers in Adrian, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.