Active NPI
Billy Joe Manuel, NCC LPC
- Counselor
- Bristol, TN
National Provider Identifier
1265445332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC 720
- Practice address
- 26 Midway St
Bristol, TN 37620 - Phone
- (423) 989-4500
- Fax
- (423) 989-4582
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC 720 | TN | Primary |
Addresses
Primary practice location
26 Midway St
Bristol, TN 37620
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138373 | Other | ANTHEM PROF TRIGON | |
| 334969 | Other | VALUE OPTIONS GROUP | |
| 019 | Other | CHAMPUS TRICARE | |
| 3085402 | Other | MAGELLAN NAVIGATOR | |
| 3085402 | Other | MAGELLAN SUMMIT | |
| 3085402 | Other | MAGELLAN PINNACLE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC 720 | TN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265445332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9054",
"city": "GRAY",
"state": "TN",
"postal_code": "376159054",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MIDWAY ST",
"city": "BRISTOL",
"state": "TN",
"postal_code": "37620",
"telephone_number": "423-989-4500",
"fax_number": "423-989-4582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "BILLY",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "NCC LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "LPC 720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROF TRIGON",
"identifier": "138373",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS GROUP",
"identifier": "334969",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NAVIGATOR",
"identifier": "3085402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN SUMMIT",
"identifier": "3085402",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PINNACLE",
"identifier": "3085402",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.