Vanessa D Mannnixon, LLBSW/CAC-M

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

381737643 Issued in MI

Practice address

3737 Lawton St
Detroit, MI 48208-2500

Phone

(313) 361-6136

NPI assigned

Mar 19, 2007

Last updated

Aug 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219881600000",
    "number": "1447374749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31097 WARREN RD APT 108",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852964",
            "telephone_number": "734-261-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 LAWTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482082500",
            "telephone_number": "313-361-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNNIXON",
        "first_name": "VANESSA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LLBSW/CAC-M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "381737643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811094998",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nitya Manney
• Ramya Manney, M.D.
• Kain Michael Manning
• Lanise Manning
• Ronald J. Manningham, C.R.N.A.
• Michelle Manns, LLBSW
• Tonisha Manns, NOVEMBER 25,1985
• Seema Manoj
• Alexandra Tzelepis Manolis
• Sasha Manoogian

• Addiction (Substance Use Disorder) Counselor in Detroit, MI
• Providers in Detroit, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; 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.