Active NPI
Corey Manuel, L.M.H.C.
- Mental Health Counselor
- Longwood, FL
National Provider Identifier
1215359583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 11048
- Practice address
- 740 Florida Central Pkwy
#1028
Longwood, FL 32750-7651 - Phone
- (407) 774-2284
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 11048 | FL | Primary |
Addresses
Primary practice location
740 Florida Central Pkwy
#1028
Longwood, FL 32750-7651
Mailing address
740 Florida Central Pkwy
#1028
Longwood, FL 32750-7651
Phone (407) 774-2284
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104965268 | Other | FL | NPI FOR MENTAL HEALTH GROUP |
| MH 11048 | Other | FL | FL DOH LICENSE |
| 676458496 | Other | FL | MEDWAIVER PROVIDER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 11048 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Better Therapy, Inc. | Mental Health | Past | Accepting new patients |
| Home at Last, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Longwood, FL
- NPI 1821137985
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1215359583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 FLORIDA CENTRAL PKWY",
"address_2": "#1028",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327507651",
"telephone_number": "407-774-2284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 FLORIDA CENTRAL PKWY",
"address_2": "#1028",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327507651",
"telephone_number": "407-774-2284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "COREY",
"credential": "L.M.H.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 11048",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI FOR MENTAL HEALTH GROUP",
"identifier": "1104965268",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL DOH LICENSE",
"identifier": "MH 11048",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDWAIVER PROVIDER",
"identifier": "676458496",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.