Manifest Mental Health LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MANIFEST MENTAL HEALTH LLC

Practice address

12485 SW 137TH Ave Ste 212
Miami, FL 33186-4217

Phone

(786) 505-6292

NPI assigned

Nov 28, 2022

Organization subpart

No

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

Authorized official

Name

Melissa Ortega, LMHCNPI 1164886206

Title

Owner

Phone

(305) 998-8060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Ortega, LMHC

  • Mental Health Counselor
  • Miami, FL
  • NPI 1164886206
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1538879804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12485 SW 137TH AVE STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864217",
            "telephone_number": "305-998-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12485 SW 137TH AVE STE 212",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864217",
            "telephone_number": "786-505-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-998-8060",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mangrove Health Provider, LLC
• Michelle Maniaci, P.T.
• Vincenzo M Maniaci, MD
• Anirudh Manic
• Zachary Keith Manier, M.D.
• Marielba D Maniglia
• Michael Maniloff
• Tamar Manis
• Manitiss Mental Health Inc Dba Medical Center of Health
• Fotini Manizate, M.D

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.