Organization Active NPI

Manmade Group LLC

Doing business as ManMade Group

  • Mental Health Counselor
  • Maryville, TN
National Provider Identifier
1356180483
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MANMADE GROUP LLC
Doing business as
ManMade Group
Practice address
296 Gamble Ave
Maryville, TN 37801-4943
Phone
(865) 281-1830
NPI assigned
May 20, 2024
Last updated
Sep 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MANMADE GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Shawn Helvey, LPC-MHSPNPI 1356883128
Title
Owner, Therapist
Phone
(865) 281-1830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

296 Gamble Ave
Maryville, TN 37801-4943

Mailing address

296 Gamble Ave
Maryville, TN 37801-4943
Phone (865) 281-1830

Other names 1

  • ManMade Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260306000676 TN Part B Supplier - Clinic/Group Practice 0941796080 Receives reassigned benefits from 1 practitioner
Practice locations: Maryville, TN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Manmade Group LLC2 organizations share this tax ID, including this one
Part of
Manmade Group LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

296 Gamble Ave
Maryville, TN 37801
Phone (865) 281-1830

309 High St
Maryville, TN 37804
Phone (865) 498-9041

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1356180483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 GAMBLE AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014943",
            "telephone_number": "865-281-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 GAMBLE AVE",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378014943",
            "telephone_number": "865-281-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANMADE GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANMADE GROUP LLC",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "HELVEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "865-281-1830",
        "authorized_official_credential": "LPC-MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ManMade Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.