Susan Michelle Mannos, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT110222 Issued in CA

Practice address

6591 Sutton St
Westminster, CA 92683-2116

Phone

(657) 340-1005

NPI assigned

Jan 5, 2018

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• New Perspective Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Westminster, CA
  • NPI 1649777335
  NPD
• Lotus Place Recovery, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fountain Valley, CA
  • NPI 1922485374

  Rehabilitation, Substance Use Disorder

  NPD (past)

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1417464967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25622 ADRIANA ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926913824",
            "telephone_number": "949-338-1335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6591 SUTTON ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926832116",
            "telephone_number": "657-340-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16480 Harbor Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927081361",
            "country_code": "US",
            "telephone_number": "949-884-4408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 S Archer St",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928042421",
            "country_code": "US",
            "telephone_number": "657-340-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNOS",
        "first_name": "SUSAN",
        "middle_name": "MICHELLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-05",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF75648",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "300049AP",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT110222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie S Malek, M.A., MFT
• Lori Mandarino
• Jorge Mandujano, EMT
• Ricardo Manez Tabarez, B.A.
• Bilquis Manjra, RD
• Gacia Lara Semerjian Manouelian, FNP
• Marianne Nga Nguyen, MD, Inc.
• Markham Family Dental
• Markies Manor
• Jason Daniel Martin

• Marriage & Family Therapist in Westminster, CA
• Providers in Westminster, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.