Individual provider Active NPI

Kathleen Manns

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1346531761
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13054 Issued in FL
Practice address
153 Windsorville CT
Jacksonville, FL 32225-5963
Phone
(904) 755-6018
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC013560 PA
Mental Health Counselor 101YM0800X MH13054 FL Primary

Addresses

Primary practice location

153 Windsorville CT
Jacksonville, FL 32225-5963

Mailing address

153 Windsorville CT
Jacksonville, FL 32225-5963
Phone (904) 755-6018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250618002631 FL Practitioner - Mental Health Counselor 0446761175 Reassigns benefits to 1 organization
I20260323003812 PA Practitioner - Mental Health Counselor 0446761175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1991
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

153 Windsorville CT
Jacksonville, FL 32225-5963

9951 Atlantic Blvd
Suite 247
Jacksonville, FL 32225-6546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH13054FLMDMental Health Counselor
PC013560PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Twins Family Foundations Inc. Mental Health CurrentSince Jun 5, 2025 Accepting new patients

Locations

9951 Atlantic Blvd
Ste 247
Jacksonville, FL 32225
Phone (904) 755-6018

2018 S Braddock Ave
#106
Pittsburgh, PA 15218

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1346531761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 WINDSORVILLE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255963",
            "telephone_number": "904-755-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 WINDSORVILLE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255963",
            "telephone_number": "904-755-6018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNS",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC013560",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.