Amie A Manis, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004657 Issued in VA

Practice address

120 W Nelson St
Lexington, VA 24450-2036

Phone

(540) 958-0670

Fax

(540) 463-2635

NPI assigned

Jun 20, 2010

Last updated

Jun 20, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amie a. Manis, PHD, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lexington, VA
  • NPI 1841501939
  NPD (past) Authorized official

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276992000000",
    "number": "1609197094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FORGE RD",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244505854",
            "telephone_number": "540-958-0670",
            "fax_number": "540-463-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W NELSON ST",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502036",
            "telephone_number": "540-958-0670",
            "fax_number": "540-463-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIS",
        "first_name": "AMIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-20",
        "last_updated": "2010-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen A Lyons, M.D.
• Kathleen A Macisaac, M.D.
• Jessica Maerz, MD
• Alise Magnuson, M.D.
• Kaitlyn Baleigh Mangone, COTA/L
• Maple Hall Academy LLC (Maple Hall Academy)
• Katherine Masey, LPC
• Karmen Rizzo Massie, LPC
• Kaitlyn Danielle Masters, COTA/L
• Donna Kelley Mauck, L.C.S.W.

• Professional Counselor in Lexington, VA
• Providers in Lexington, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2010; 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.