Michelle D Mansfield

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

270 Carpenter Dr Ste 400
Atlanta, GA 30328-4933

Phone

(678) 460-0345

Fax

(678) 460-0350

NPI assigned

Nov 29, 2010

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Family Ties Inc.

  • Community/Behavioral Health Agency
  • Sandy Springs, GA
  • NPI 1275753782
  NPD (past)

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386946168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44022 GARDNER DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098614",
            "telephone_number": "404-889-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 CARPENTER DR STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284933",
            "telephone_number": "678-460-0345",
            "fax_number": "678-460-0350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 N Texas St Apt 242",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945337300",
            "country_code": "US",
            "telephone_number": "707-803-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA DL",
            "identifier": "058176570",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bindu Manocha, MD
• Jeffrey Manord Jr., CF-SLP
• Cynthia Kaiser Manos, M.D.
• Sheri Klingenberg Manougian, PA-C
• Rahamat Mansaray, MD
• Allie Lynn Manson
• Anthony J Manson, MD
• Bryan Keith Manson Jr., MD
• Parisa Mansoori, MD
• Jennifer Mansour

• Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.