Tanya Mance, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.012233 Issued in IL

Practice address

10343 S Western Ave
Chicago, IL 60643-2410

Phone

(773) 238-2828

Fax

(708) 974-3845

NPI assigned

Dec 23, 2020

Last updated

Jan 24, 2023By 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 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Psychology Center P.C.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1396735361
  NPD
• The Juniper Center PC

  dba The Center for Relationship Health Margo M Jacquot Psyd CSADC

  • Mental Health Counselor
  • Park Ridge, IL
  • NPI 1902906324
  NPD (past)

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1396332342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 S SOUTH SHORE DR APT 21B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493898",
            "telephone_number": "312-298-9893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10343 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606432410",
            "telephone_number": "773-238-2828",
            "fax_number": "708-974-3845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1440 Renaissance Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600681471",
            "country_code": "US",
            "telephone_number": "847-759-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANCE",
        "first_name": "TANYA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.012233",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "IL",
            "license": "178.012233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "psycenter4@aol.com",
            "affiliation": "N",
            "address_1": "10343 S Western Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606432410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ingridlara@thejunipercenter.com",
            "affiliation": "N",
            "address_1": "1440 Renaissance Dr Ste 320",
            "city": "Park Ridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600681471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elaf Manassra, RRT
• Brian Manburg
• Rexson Louis Agustin Mancao, PT, DPT
• Joseph James Mancari, PHARM.D.
• Heshima Mance, LCPC
• Emily Mancewicz, CRNA
• Genesis Talia Mancha, MD
• Monika Manchanda, MD
• Shivon Manchanda, MD
• Emily Manchick

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.