Individual provider Active NPI

Mary Ann Mannen, MA

  • Mental Health Counselor
  • Longwood, FL
National Provider Identifier
1609145382
Registry record updated Dec 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH6242 Issued in FL
Practice address
100 Crown Oak Centre Dr
Longwood, FL 32750-6166
Phone
(407) 376-3773
NPI assigned
Dec 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH6242 FL Primary

Addresses

Primary practice location

100 Crown Oak Centre Dr
Longwood, FL 32750-6166

Mailing address

100 Crown Oak Centre Dr
Longwood, FL 32750-6166
Phone (407) 376-3773

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH6242FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Counseling of Orlando 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.

NPI Registry JSON

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

{
    "created_epoch": "1324684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324684800000",
    "number": "1609145382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROWN OAK CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506166",
            "telephone_number": "407-376-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROWN OAK CENTRE DR",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506166",
            "telephone_number": "407-376-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNEN",
        "first_name": "MARY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-24",
        "last_updated": "2011-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH6242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.