Andrea Jena Manns, MA LLPC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6401015904 Issued in MI

Practice address

432 Highland Ave
Pontiac, MI 48341-2832

Phone

(248) 800-9875

NPI assigned

Nov 20, 2017

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1467966903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 HIGHLAND AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412832",
            "telephone_number": "248-800-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 HIGHLAND AVE",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412832",
            "telephone_number": "248-800-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNS",
        "first_name": "ANDREA",
        "middle_name": "JENA",
        "credential": "MA LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6401015904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alba Manjarres, LMSW
• Catherine Rachel Mank, D.O.
• Arshpreet Mann, MD
• Dawn Mann, CPSS, CPRC, CPRM
• Padmaja Manne, M.D.
• Cory Eric Manoogian, DO
• Mansach Enterprises LLC
• Mansach Enterprises LLC
• Noura Mansour
• Naushad Makbulbhai Mansuri, MD

• Counseling Psychologist in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.