Mark Alexander Mann Jr., LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A17718 Issued in NC

Practice address

448 Jake Alexander Blvd W
Salisbury, NC 28147-1365

Phone

(704) 645-8539

NPI assigned

Sep 7, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Treatment Centers LLC

  • Community/Behavioral Health Agency
  • Lexington, NC
  • NPI 1639592900
  NPD (past)

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1477274652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 1ST AVE",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280232312",
            "telephone_number": "704-657-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 JAKE ALEXANDER BLVD W",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471365",
            "telephone_number": "704-645-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MARK",
        "middle_name": "ALEXANDER",
        "name_suffix": "Jr.",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-28620",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A17718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James A Mallinson Jr., MA
• Sean I Malone, M.D.
• Sean Robert Maloney, M.D.
• Gary Lee Mancil, O.D.
• Brianna O'Neil Mangum, PA
• Kishan Rao Maramraj, MD
• Daniel Margalski
• Clement Joseph Markarian, CRNA
• Joshua Marshall
• Matthew Lewis Marshburn, LAT/ATC

• Mental Health Counselor in Salisbury, NC
• Providers in Salisbury, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.