Micah J Mann, MA, LADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

689 Issued in CT

Practice address

434 Prospect St
Torrington, CT 06790-4937

Phone

(860) 877-4320

NPI assigned

Apr 27, 2012

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

Master of Arts

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7222/brand/1/csg/1/fhir/r4

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.

• Northwestern Connecticut Counseling and Consulting

  • Addiction (Substance Use Disorder) Counselor
  • Torrington, CT
  • NPI 1972863256
  NPD (past) Authorized official

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1255699161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BRIDLE DR",
            "city": "BARKHAMSTED",
            "state": "CT",
            "postal_code": "060633425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 PROSPECT ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067904937",
            "telephone_number": "860-877-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MICAH",
        "middle_name": "J",
        "credential": "MA, LADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maletta Pfeiffer & Associates, L.L.C.
• Brian Bernard Malone, MD
• Megan Mancinelli, APRN
• Neal Mandell, MD
• Sydney Ann Mandeville, BCBA
• Susan D Marai, APRN
• Kasandra Marbury, MSW,BSW,LMSW, LCSW
• Cheryl Marchetti, APRN
• Hillary Marcinko, M.S., CCC-SLP
• Rannan Lee Marconi, LPC

• Addiction (Substance Use Disorder) Counselor in Torrington, CT
• Providers in Torrington, CT by specialty
• Addiction (Substance Use Disorder) Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.