Tyler Maneth

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

24054 Issued in AZ

Practice address

3839 N 3Rd St Ste 101
Phoenix, AZ 85012-2068

Phone

(602) 285-9696

NPI assigned

Aug 9, 2025

Sex

Male

Sole proprietor

No

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler.maneth.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1942070370
  Medicare reassignment Care Compare group NPD
• Northlight Counseling Associates Inc

  • Mental Health Counselor
  • Mesa, AZ
  • NPI 1912943903
  Medicare reassignment NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Psychologist
  • Show Low, AZ
  • NPI 1568272698
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD
• Healing Effect

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1104523448
  NPD (past)

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

{
    "created_epoch": "1754697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1477438232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 S 119TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235716",
            "telephone_number": "602-717-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 N 3RD ST STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122068",
            "telephone_number": "602-285-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANETH",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "24054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisha J Manek, M.D.
• Ronak Manek, R.PH
• Celia Camille Maneri, DO
• Peter Manesh, DDS
• Alexis Maneth, RBT
• Anushriya Mangal, PA
• Anusha Mangalampalli, MD
• Naina Chaitanya Mangalmurti, MD
• Shahida Mangelsdorf, AGACNP
• Sidney Shane Mangelsdorf, AG-ACNP

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.