Manifest Therapy Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MANIFEST THERAPY SERVICES, LLC

Practice address

15635 S 94TH Ave Ste 114
Orland Park, IL 60462-4722

Phone

(708) 949-6867

NPI assigned

Aug 24, 2026

Organization subpart

No

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

Authorized official

Name

Gina L Tapella, LCSW

Title

President

Phone

(815) 685-2103

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1205743549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15635 S 94TH AVE STE 114",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624722",
            "telephone_number": "708-949-6867",
            "fax_number": "708-667-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15635 S 94TH AVE STE 114",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624722",
            "telephone_number": "708-949-6867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "TAPELLA",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-685-2103",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Amber Mance
• Mamta Manchanda, LPT
• Vinish Manchanda, PT
• Antonio Mancini, D.O.
• Vernie R. Manger, LCPC,CAADC,CGP
• Curtis G Mann, M.D.
• James W. Manock, LCSW
• Evan T. Manolis, M.D.
• Cassie Manzi, NP
• Map Trauma Therapy Services

• Clinical Social Worker in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.