Merridith Manning, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

6546 Issued in ID

Practice address

6003 W Overland Rd Ste 101
Boise, ID 83709-3075

Phone

(208) 917-2543

NPI assigned

Feb 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Impact Counseling and Treatment Services, LLC

  • Mental Health Counselor
  • Boise, ID
  • NPI 1457084667

  Marriage & Family Therapist

  NPD Authorized official

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1235521253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 E ODYSSEY ST",
            "city": "KUNA",
            "state": "ID",
            "postal_code": "836345618",
            "telephone_number": "208-576-9239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 W OVERLAND RD STE 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837093075",
            "telephone_number": "208-917-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "MERRIDITH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "ID",
            "license": "6546",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98777",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "6546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Manko, PA-C
• Katherine Elizabeth Mankus, PA-C
• Chelsea Mannebach, PHARM.D.
• Brittany Alyse Mannie, SLP
• Manning Neurosurgery, PLLC
• Thomas Crellin Manning, MD
• Molly J Mannschreck, M.D.
• C Paul Mansfield, CRNA
• Marcy B. Mansor-Jess, PT
• Autumn Mantey, LMSW

• Marriage & Family Therapist in Boise, ID
• Providers in Boise, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.