Matthew Blake Manis, PHD., BA., CLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1601 Hwy 77 N.
Waxahachie, TX 75165

Phone

(214) 230-1621

Fax

(972) 935-0930

NPI assigned

Aug 12, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Doctor of Philosophy

Practice roles

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.

• The Manis Group

  • Chiropractor
  • Waxahachie, TX
  • NPI 1851726723

  Mental Health

  NPD (past) Authorized official

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1215360490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 CHESTERFIELD CIR",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751656362",
            "telephone_number": "214-230-1621",
            "fax_number": "972-935-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HWY 77 N.",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "214-230-1621",
            "fax_number": "972-935-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIS",
        "first_name": "MATTHEW",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "PHD., BA., CLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.