Individual provider Active NPI

Misty D Manie, LMFT, LCDC, SAP

  • Marriage & Family Therapist
  • Denton, TX
National Provider Identifier
1235635756
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203066 Issued in TX
Practice address
207 W Hickory St Ste 210
Denton, TX 76201-4150
Phone
(817) 907-1060
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 10989 TX
Marriage & Family Therapist 106H00000X 203066 TX Primary

Addresses

Primary practice location

207 W Hickory St Ste 210
Denton, TX 76201-4150

Mailing address

207 W Hickory St Ste 210
Denton, TX 76201-4150
Phone (817) 907-1060

Other practice location 1

1101 Ridge Rd Ste 120
Rockwall, TX 75087-4250
Phone (817) 907-1060

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

LicenseStateTypeSpecialty
203066TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brighten Counseling & Associates Addiction (Substance Use Disorder) CurrentSince Mar 29, 2020 Accepting new patients

Locations

207 W Hickory St
Ste 308
Denton, TX 76201

207 W Hickory St
Ste 210
Denton, TX 76201
Phone (817) 907-1060

Organizations & group practices 1

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1235635756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST STE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014150",
            "telephone_number": "817-907-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W HICKORY ST STE 210",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014150",
            "telephone_number": "817-907-1060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Ridge Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750874250",
            "country_code": "US",
            "telephone_number": "817-907-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIE",
        "first_name": "MISTY",
        "middle_name": "D",
        "credential": "LMFT, LCDC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10989",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.