Active NPI
Marsha Elaine Manon, MED, LPCC-S, LICDC
- Mental Health Counselor
- Temperance, MI
National Provider Identifier
1265726699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E3860
- Practice address
- 2230 Camden LN
Temperance, MI 48182-2240 - Phone
- (419) 343-6927
- NPI assigned
- Jun 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 04123 | OH | |
| Mental Health Counselor | 101YM0800X | E3860 | OH | Primary |
Addresses
Primary practice location
2230 Camden LN
Temperance, MI 48182-2240
Mailing address
2230 Camden LN
Temperance, MI 48182-2240
Phone (419) 343-6927
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04123 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| E3860 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306972800000",
"number": "1265726699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 CAMDEN LN",
"city": "TEMPERANCE",
"state": "MI",
"postal_code": "481822240",
"telephone_number": "419-343-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 CAMDEN LN",
"city": "TEMPERANCE",
"state": "MI",
"postal_code": "481822240",
"telephone_number": "419-343-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANON",
"first_name": "MARSHA",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "MED, LPCC-S, LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-02",
"last_updated": "2011-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "04123",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E3860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temperance, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.