Active NPI
Maggie Manyose-Grimley, LPC
- Counselor
- Secane, PA
National Provider Identifier
1336895226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PC019948
- Practice address
- 853 Quaint St
Secane, PA 19018-3316 - Phone
- (936) 581-8522
- NPI assigned
- Mar 1, 2022
- Last updated
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PC019948 | PA | Primary |
| Counselor | 101Y00000X | 37PC01292200 | NJ | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU |
Addresses
Primary practice location
853 Quaint St
Secane, PA 19018-3316
Mailing address
853 Quaint St
Secane, PA 19018-3316
Phone (936) 581-8522
Other practice location 1
1041 W Bridge St Ste B-5
Phoenixville, PA 19460-4342
Phone (610) 415-9301
Other names 1
- Maggie Manyose
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
111 Elwyn Rd
Media, PA 19063-4622
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC019948 | PA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1336895226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "853 QUAINT ST",
"city": "SECANE",
"state": "PA",
"postal_code": "190183316",
"telephone_number": "936-581-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 QUAINT ST",
"city": "SECANE",
"state": "PA",
"postal_code": "190183316",
"telephone_number": "936-581-8522"
}
],
"practiceLocations": [
{
"address_1": "1041 W Bridge St Ste B-5",
"address_purpose": "LOCATION",
"city": "Phoenixville",
"state": "PA",
"postal_code": "194604342",
"country_code": "US",
"telephone_number": "610-415-9301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANYOSE-GRIMLEY",
"first_name": "MAGGIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-01",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "PA",
"license": "PC019948",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37PC01292200",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAGGIE",
"last_name": "MANYOSE",
"credential": "LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Secane, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.