Individual provider Active NPI

Jordan Re Manley, LMHC-LP

  • Mental Health Counselor
  • Dansville, NY
National Provider Identifier
1326756305
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
119135-01 Issued in NY
Practice address
9221 Robert Hart Dr
Dansville, NY 14437-8931
Phone
(585) 335-4316
NPI assigned
Nov 9, 2022
Last updated
Jun 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 119135-01 NY Primary

Addresses

Primary practice location

9221 Robert Hart Dr
Dansville, NY 14437-8931

Mailing address

9221 Robert Hart Dr
Dansville, NY 14437-8931
Phone (585) 335-4316

Other names 1

  • Mr. Jordan R Manley Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260220001638 NY Practitioner - Mental Health Counselor 4688155385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 Millennium Dr
Geneseo, NY 14454-1197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
119135-01NYMDMental Health Counselor
016926NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County CurrentSince Dec 31, 2025 Accepting new patients
Livingston County CurrentSince Dec 31, 2025 Accepting new patients
Nicholas H. Noyes Memorial Hospital PastSince Oct 12, 2011 Accepting new patients

Locations

4600 Millennium Dr
Geneseo, NY 14454
Phone (585) 243-7250

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1326756305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9221 ROBERT HART DR",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144378931",
            "telephone_number": "585-335-4316",
            "fax_number": "585-335-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9221 ROBERT HART DR",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144378931",
            "telephone_number": "585-335-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "JORDAN",
        "middle_name": "RE",
        "credential": "LMHC-LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-09",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "119135-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORDAN",
            "last_name": "MANLEY",
            "middle_name": "R",
            "prefix": "MR.",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dansville, NY

Sources for this page

Verify at the official NPI Registry.