Active NPI
Michelle Manchester
- Mental Health Counselor
- Orange, CA
National Provider Identifier
1558614768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 500 City Park Way West
Suite 400
Orange, CA 92868 - Phone
- (714) 834-8508
- NPI assigned
- Oct 25, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | Primary |
Addresses
Primary practice location
500 City Park Way West
Suite 400
Orange, CA 92868
Mailing address
500 City Park Way West
Orange, CA 92868
Phone (714) 834-7742
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1558614768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CITY PARK WAY WEST",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-834-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CITY PARK WAY WEST",
"address_2": "SUITE 400",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-834-8508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHESTER",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2022-07-20",
"certification_date": "2022-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.