Individual provider Active NPI

Michelle Marie Manning, M.A., M.F.T.I,

  • Marriage & Family Therapist
  • Granada Hills, CA
National Provider Identifier
1295917391
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 44231 Issued in CA
Practice address
17634 Los Alimos St
Granada Hills, CA 91344-4618
Phone
(818) 365-2388
Fax
(818) 365-9488
NPI assigned
Nov 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 44231 CA Primary

Addresses

Primary practice location

17634 Los Alimos St
Granada Hills, CA 91344-4618

Mailing address

17634 Los Alimos St
Granada Hills, CA 91344-4618
Phone (818) 365-2388

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 Arts

State licenses

LicenseStateTypeSpecialty
IMF 44231CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1295917391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17634 LOS ALIMOS ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444618",
            "telephone_number": "818-365-2388",
            "fax_number": "818-365-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17634 LOS ALIMOS ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913444618",
            "telephone_number": "818-365-2388",
            "fax_number": "818-365-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "M.A., M.F.T.I,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 44231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granada Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.

Verify at the official NPI Registry.