Individual provider Active NPI

Maggie Manyose-Grimley, LPC

  • Counselor
  • Secane, PA
National Provider Identifier
1336895226
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC019948 Issued in PA
Practice address
853 Quaint St
Secane, PA 19018-3316
Phone
(936) 581-8522
NPI assigned
Mar 1, 2022
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

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

LicenseStateTypeSpecialty
PC019948PAMDCounselor

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

Verify at the official NPI Registry.