Individual provider Active NPI

Stacy Jean Maneth, LPC

  • Mental Health Counselor
  • Salina, KS
National Provider Identifier
1215779913
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC04668 Issued in KS
Practice address
730 Holly LN
Salina, KS 67401-8452
Phone
(785) 452-4930
Fax
(785) 452-4932
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC04668 KS Primary
Social Worker 104100000X LPC04668 KS

Addresses

Primary practice location

730 Holly LN
Salina, KS 67401-8452

Mailing address

730 Holly LN
Salina, KS 67401-8452
Phone (785) 452-4930

Other names 1

  • Stacy Whiteley/Poe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723002205 KS Practitioner - Mental Health Counselor 3173069465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC04668KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Regional Health Center, Inc CurrentSince Jun 15, 2024 Accepting new patients
Salina Regional Health Center Inc CurrentSince Jun 15, 2024 Accepting new patients

Locations

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

730 Holly Ln
Salina, KS 67401
Phone (785) 452-4930

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.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1215779913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HOLLY LN",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674018452",
            "telephone_number": "785-452-4930",
            "fax_number": "785-452-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HOLLY LN",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674018452",
            "telephone_number": "785-452-4930",
            "fax_number": "785-452-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANETH",
        "first_name": "STACY",
        "middle_name": "JEAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KS",
            "license": "LPC04668",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "LPC04668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "WHITELEY/POE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salina, KS

Sources for this page

Verify at the official NPI Registry.