Jean Madeleine Manz, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0101581 Issued in NM

Practice address

3510 Messina Dr
Farmington, NM 87402-4782

Phone

(505) 716-7995

NPI assigned

Sep 15, 2009

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

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.

• Jean Manz Coaching, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Farmington, NM
  • NPI 1164940599
  NPD Authorized official
• Choices Behavioral Health Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Farmington, NM
  • NPI 1134194483
  NPD (past)

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1649503293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 SUNRISE CIR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874019299",
            "telephone_number": "505-716-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MESSINA DR",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874024782",
            "telephone_number": "505-716-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZ",
        "first_name": "JEAN",
        "middle_name": "MADELEINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0101581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Mannheimer, MD
• Patty A Manuelito
• Barbara J Manus-Greider, LMSW
• Jaisiah Manus
• Many Rivers Transitional Therapy Solutions LLC
• Julius Nicholas Manz, DDS
• Mary E Maras, C.O.T.A.
• Marie Mares
• Janet L Margeson, CRNA
• Marie Rousseau MD PC

• Marriage & Family Therapist in Farmington, NM
• Providers in Farmington, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.