Active NPI
Lashondra Patrice Manning, MA, LPC, NCC
- Professional Counselor
- Addison, TX
National Provider Identifier
1205000163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62525
- Practice address
- 14679 Midway Rd
Ste. 200
Addison, TX 75001-3168 - Phone
- (972) 234-6634
- Fax
- (972) 234-6648
- NPI assigned
- Apr 22, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62525 | TX | Primary |
Addresses
Primary practice location
14679 Midway Rd
Ste. 200
Addison, TX 75001-3168
Mailing address
14679 Midway Rd
Ste. 200
Addison, TX 75001-3168
Phone (972) 234-6634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193045503 | Medicaid | TX |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62525 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327622400000",
"number": "1205000163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14679 MIDWAY RD",
"address_2": "STE. 200",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013168",
"telephone_number": "972-234-6634",
"fax_number": "972-234-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14679 MIDWAY RD",
"address_2": "STE. 200",
"city": "ADDISON",
"state": "TX",
"postal_code": "750013168",
"telephone_number": "972-234-6634",
"fax_number": "972-234-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "LASHONDRA",
"middle_name": "PATRICE",
"name_prefix": "Ms.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-22",
"last_updated": "2012-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62525",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "193045503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.