Manna Resource Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MANNA RESOURCE CENTER

Practice address

3900 Grace Blvd
Highlands Ranch, CO 80126-7801

Phone

(720) 485-1008

NPI assigned

Sep 21, 2021

Organization subpart

No

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

Authorized official

Name

Erin White

Title

Executive Director

Phone

(720) 485-1008

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Merari A Stacy, LCSW

  • Clinical Social Worker
  • Highlands Ranch, CO
  • NPI 1215552153
  NPD
• Christina Cassidy Bortz, LPC

  • Professional Counselor
  • Denver, CO
  • NPI 1760940654

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1295406288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 GRACE BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267801",
            "telephone_number": "720-485-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 GRACE BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801267801",
            "telephone_number": "720-485-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-485-1008"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000190098",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Maksymenko, MD
• Sarah Male
• Mathew Mancuso, DC
• Shantai Irene Mancuso, DC, BSC
• Kathleen D Mangnuson
• Manna Resource Center
• Ashley Jean Manson
• Jennifer Marion
• Mark'S Surgical Assisting
• Kristina Roser Markey, MS, CGC

• Mental Health Counselor in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.