Organization Active NPI

Shena Manning, Brighten Path Counseling,LLC

  • Professional Counselor
  • Peachtree City, GA
National Provider Identifier
1417580002
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SHENA MANNING, BRIGHTEN PATH COUNSELING,LLC
Practice address
23 Eastbrook BND Ste C
Peachtree City, GA 30269-1565
Phone
(770) 609-0357
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Shena Manning, LCMHC
Title
Ceo
Phone
(770) 609-0357

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

23 Eastbrook BND Ste C
Peachtree City, GA 30269-1565

Mailing address

1007 Mansell Rd Ste a Pmb2020
Ste a, Pmb2020
Roswell, GA 30076-4805
Phone (770) 609-0357

Other identifiers 1

IdentifierTypeStateIssuer
1568093748OtherGANPI

National Provider Directory

National Provider Directory

Locations

23 Eastbrook Bnd
Ste C
Peachtree City, GA 30269
Phone (770) 609-0357

1007 Mansell Rd
Ste A
Roswell, GA 30076

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1417580002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MANSELL RD STE A PMB2020",
            "address_2": "STE A, PMB2020",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764805",
            "telephone_number": "770-609-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EASTBROOK BND STE C",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691565",
            "telephone_number": "770-609-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENA MANNING, BRIGHTEN PATH COUNSELING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "SHENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-609-0357",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568093748",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

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