Manifestini Coaching and Consulting LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MANIFESTINI COACHING AND CONSULTING LLC

Practice address

5730 Deep Forest Rd
North Chesterfield, VA 23237-3964

Phone

(804) 516-4471

NPI assigned

Dec 26, 2022

Organization subpart

No

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

Authorized official

Name

Dawn Peterson-Lewis, LPCNPI 1528778511

Title

Owner

Phone

(804) 516-4471

Specialties & licenses 1

Addresses

Other names 1

• Manifestini Wellness Doing business as

Practitioners 1

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

• Dawn Louise Peterson-Lewis, LPC

  • Mental Health Counselor
  • North Chesterfield, VA
  • NPI 1528778511
  NPD Authorized official

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

{
    "created_epoch": "1672012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1609589472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 DEEP FOREST RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373964",
            "telephone_number": "804-516-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 DEEP FOREST RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232373964",
            "telephone_number": "804-516-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFESTINI COACHING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-26",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "PETERSON-LEWIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-516-4471",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manifestini Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lauren Guridy Maino, AUD
• Michael D Maldonado, M.D.
• Emma Mallalieu, DPT
• Blair Mallory, OTR
• Mama'S House, LLC.
• Garrett Manno
• Rasha Manoppo
• Marie C. Marant, M.S., CCC-SLP, CMT
• Gregory B Marcelle Jr., M.ED., LPC, CAADC
• Madison Marchant, RBT

• Mental Health Counselor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.

Verify at the official NPI Registry.