Individual provider Active NPI

Megan Jean Manty, MS, LPCC

  • Professional Counselor
  • Bloomington, MN
National Provider Identifier
1639711641
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
02260 Issued in MN
Practice address
7901 Xerxes Ave S Ste 110
Bloomington, MN 55431-1200
Phone
(763) 607-7817
Fax
(612) 662-8779
NPI assigned
Oct 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2260 MN
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 02260 MN Primary

Addresses

Primary practice location

7901 Xerxes Ave S Ste 110
Bloomington, MN 55431-1200

Mailing address

7901 Xerxes Ave S Ste 110
Bloomington, MN 55431-1200
Phone (763) 607-7817

Other practice location 1

1403 Heritage Dr Ste A
Northfield, MN 55057-3227
Phone (763) 607-7817

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 Science

State licenses

LicenseStateTypeSpecialty
02260MNMDProfessional Counselor
2260MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Autism & Psychological Services, PLLC Professional CurrentSince Jan 1, 2023 Accepting new patients
Holland Center Multi-Specialty PastSince Aug 1, 2021 Accepting new patients
Minnesota Carepartner, LLC Multi-Specialty PastSince Oct 1, 2019 Accepting new patients
Midwest Autism and Therapy Center of Iowa, LLC Multi-Specialty Past Accepting new patients
Minnesota Carepartner, LLC PastSince Jan 24, 2021 Accepting new patients

Locations

12400 Portland Ave
Ste 130
Burnsville, MN 55337
Phone (612) 201-2468

6001 Egan Dr
Ste 150
Savage, MN 55378
Phone (952) 693-0545

Organizations & group practices 5

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": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1639711641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 XERXES AVE S STE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311200",
            "telephone_number": "763-607-7817",
            "fax_number": "612-662-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 XERXES AVE S STE 110",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311200",
            "telephone_number": "763-607-7817",
            "fax_number": "612-662-8779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Heritage Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "MN",
            "postal_code": "550573227",
            "country_code": "US",
            "telephone_number": "763-607-7817",
            "fax_number": "612-662-8779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTY",
        "first_name": "MEGAN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MS, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2260",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "02260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.