Active NPI
Jayne Lurinda Manwarren, LPC
- Mental Health Counselor
- Lynchburg, VA
National Provider Identifier
1366774788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701004778
- Practice address
- 21731 Timberlake Rd
Lynchburg, VA 24502-7400 - Phone
- (434) 455-5033
- Fax
- (434) 455-5034
- NPI assigned
- Feb 10, 2010
- Last updated
- Feb 10, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701004778 | VA | Primary |
Addresses
Primary practice location
21731 Timberlake Rd
Lynchburg, VA 24502-7400
Mailing address
21731 Timberlake Rd
Lynchburg, VA 24502-7400
Phone (434) 455-5033
Other names 1
- Mrs. Jaynie Lurinda Bailey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004778 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jayne L Manwarren LPC Inc | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265760000000",
"number": "1366774788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21731 TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027400",
"telephone_number": "434-455-5033",
"fax_number": "434-455-5034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21731 TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027400",
"telephone_number": "434-455-5033",
"fax_number": "434-455-5034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANWARREN",
"first_name": "JAYNE",
"middle_name": "LURINDA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701004778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAYNIE",
"last_name": "BAILEY",
"middle_name": "LURINDA",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.