Tim Mitchell Mankowski

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1480 N M 52 Ste 1
Owosso, MI 48867-1025

Phone

(989) 723-8239

NPI assigned

Jul 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1801819149
  NPD
• Catholic Charities of Shiawassee and Genesee Counties

  • Mental Health Counselor
  • Owosso, MI
  • NPI 1689155590
  NPD (past)

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1407464837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 N M 52 STE 1",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671025",
            "telephone_number": "989-723-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 N M 52 STE 1",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671025",
            "telephone_number": "989-723-8239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKOWSKI",
        "first_name": "TIM",
        "middle_name": "MITCHELL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olina Mallory
• Erin Sean Malone, D.C.
• Ariel Jean Manausa
• Michelle Ranae Mandley, MSWL
• Steven Mandley, P.T.
• Genevieve Dezyree Marceau, LMSW
• Mario Chaves PC
• Mark S Medel DDS PC
• Shane Steven Markle, HIS
• Justin John Marone, D.O.

• Peer Specialist in Owosso, MI
• Providers in Owosso, MI by specialty
• Peer Specialist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.