Active NPI
Nancy M Mann, LCSW
- Mental Health Counselor
- Madison, CT
National Provider Identifier
1497705107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001403
- Practice address
- 50 Wilshire Rd
Madison, CT 06443-3350 - Phone
- (203) 245-0513
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 001403 | CT | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 001403 | CT | |
| Mental Health Counselor | 101YM0800X | 001403 | CT | Primary |
| Professional Counselor | 101YP2500X | 001403 | CT | |
| Clinical Social Worker | 1041C0700X | 001403 | CT | |
| Marriage & Family Therapist | 106H00000X | 001403 | CT |
Addresses
Primary practice location
50 Wilshire Rd
Madison, CT 06443-3350
Mailing address
PO Box 940
Madison, CT 06443-0940
Phone (203) 245-0513
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001403 | Other | CT | DEPT OF PUBLIC HEALTH |
| 197830 | Other | CT | MHN |
| 024740000 | Other | CT | MAGELLAN FOR CHN |
| 11495223 | Other | CT | CAQH |
| 329553 | Other | CT | VALU OPT CHN CT SAGA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001403 | CT | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Connection Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- New Haven, CT
- NPI 1154387652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1497705107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 940",
"city": "MADISON",
"state": "CT",
"postal_code": "064430940",
"telephone_number": "203-245-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 WILSHIRE RD",
"city": "MADISON",
"state": "CT",
"postal_code": "064433350",
"telephone_number": "203-245-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "NANCY",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "001403",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "001403",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CT",
"license": "001403",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001403",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "001403",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CT",
"license": "001403",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF PUBLIC HEALTH",
"identifier": "001403",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "197830",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN FOR CHN",
"identifier": "024740000",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11495223",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALU OPT CHN CT SAGA",
"identifier": "329553",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.