Michael Warren Manchester, MA, NCC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9898 Issued in FL

Practice address

3074 W Lake Mary Blvd
140
Lake Mary, FL 32746-6749

Phone

(407) 324-7979

Fax

(407) 324-7901

NPI assigned

May 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1386879732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S OSCEOLA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061350",
            "telephone_number": "407-324-7979",
            "fax_number": "407-324-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 W LAKE MARY BLVD",
            "address_2": "140",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466749",
            "telephone_number": "407-324-7979",
            "fax_number": "407-324-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESTER",
        "first_name": "MICHAEL",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "MA, NCC, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH9898",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9898",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH9898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylene Ilexis Malave
• Michal Malcolm, M.A
• Alex Emil Maldonado, LPTA
• Mahad Malik, MD
• George Malki, MD
• Beverly Manda, M.A., ED.
• Sophia Mangonon, DMD
• Kimberly Mangum, APRN
• Shivali P Maniar, PA-C
• Dania Claude Manigat, APRN

• Mental Health Counselor in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.