Active NPI
Kathleen Manns
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1346531761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13054
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH13054 | FL | MD | Mental Health Counselor |
| PC013560 | PA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twins Family Foundations Inc. | Mental Health | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; 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.