Demitrius Donyelle Manley, LCSW, LCDC, SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60058 Issued in TX

Practice address

6315 Gulfton St Ste 100
Houston, TX 77081-1107

Phone

(713) 457-4372

Fax

(713) 457-0945

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Demitria Donyelle Manley Professional name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alaniz Counseling and Behavioral Center, P.C.

  • Professional Counselor
  • San Antonio, TX
  • NPI 1811288731

  Multi-Specialty

  Medicare reassignment NPD
• Love Sex and Happiness

  • Clinical Social Worker
  • Houston, TX
  • NPI 1295411403
  NPD Authorized official
• Psychiatry of Texas PLLC

  dba Psychplus Associates

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027
  Medicare reassignment
• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026
  Medicare reassignment
• Vcounselors PLLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1326784307

  Multi-Specialty

  NPD
• Zhe Song, MD PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sugar Land, TX
  • NPI 1548034721

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1578054201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WILCREST DR STE 155",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423549",
            "telephone_number": "346-435-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 GULFTON ST STE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811107",
            "telephone_number": "713-457-4372",
            "fax_number": "713-457-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Wilcrest Dr Ste 155",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770423549",
            "country_code": "US",
            "telephone_number": "346-435-6710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "DEMITRIUS",
        "middle_name": "DONYELLE",
        "credential": "LCSW, LCDC, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9450",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEMITRIA",
            "last_name": "MANLEY",
            "middle_name": "DONYELLE",
            "credential": "LCDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rushi N Mankad, MD
• Peter Mankarious
• Ramy Mankarious
• Jini Mankuzha Paul, FNP
• Cassie Manley, LCSW
• Lindsey Raye Manley, APRN-CNP
• Sreekala Manmadhan Nair, NP
• Mann Eye Center, PA (Mann Eye 2)
• Mann Eye Center, PA (Mann Eye 2)
• Mann Eye Center, PA (Mann Eye Institute)

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.