Individual provider Active NPI

Matthew Manz, LMHC

  • Mental Health Counselor
  • Fort Dodge, IA
National Provider Identifier
1447724794
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
080281 Issued in IA
Practice address
728 1St Ave N
Fort Dodge, IA 50501-0466
Phone
(515) 227-0334
NPI assigned
Jan 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 080281 IA Primary

Addresses

Primary practice location

728 1St Ave N
Fort Dodge, IA 50501-0466

Mailing address

106 Taft St N
Humboldt, IA 50548-1770
Phone (515) 227-0334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 28, 2026 through Apr 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
080281IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Manz Pastoral Counseling LLC Current Accepting new patients

Locations

728 1st Ave N
Fort Dodge, IA 50501
Phone (515) 227-0334

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1447724794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 TAFT ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481770",
            "telephone_number": "515-227-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 1ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505010466",
            "telephone_number": "515-227-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZ",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "080281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

Verify at the official NPI Registry.