Active NPI
Jeanette N Manago, MSCP, NBCC, MHC
- Mental Health Counselor
- Aiea, HI
National Provider Identifier
1316615776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC-275
- Practice address
- 98-940 Moanalua Rd
Aiea, HI 96701-5011 - Phone
- (808) 305-9300
- NPI assigned
- Sep 1, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC-275 | HI | Primary |
Addresses
Primary practice location
98-940 Moanalua Rd
Aiea, HI 96701-5011
Mailing address
3147 Magnolia Place
Honolulu, Hi 96816
Honolulu, HI 96816
Phone (808) 382-6300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | k12.hi.us | Direct |
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 |
|---|---|---|---|
| MHC-275 | HI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1316615776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3147 MAGNOLIA PLACE",
"address_2": "HONOLULU, HI 96816",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96816",
"telephone_number": "808-382-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-940 MOANALUA RD",
"city": "AIEA",
"state": "HI",
"postal_code": "967015011",
"telephone_number": "808-305-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANAGO",
"first_name": "JEANETTE",
"middle_name": "N",
"credential": "MSCP, NBCC, MHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "MHC-275",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "k12.hi.us",
"affiliation": "N",
"endpointDescription": "dept of ed direct email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"contentOtherDescription": "none",
"address_1": "98-940 Moanalua Rd",
"city": "Aiea",
"state": "HI",
"country_code": "US",
"postal_code": "967015011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.