Individual provider Active NPI

Nuazha Azizah Mannsur, M.S.W., C.A.P.

  • Addiction (Substance Use Disorder) Counselor
  • West Palm Beach, FL
National Provider Identifier
1649525718
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2086 Issued in FL
Practice address
1870 Forest Hill Blvd Ste 200
West Palm Beach, FL 33406-6061
Phone
(561) 904-6514
NPI assigned
Jul 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2086 FL Primary
Social Worker 104100000X

Addresses

Primary practice location

1870 Forest Hill Blvd Ste 200
West Palm Beach, FL 33406-6061

Mailing address

181 Kent K
West Palm Beach, FL 33417-1721
Phone (561) 843-8850

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

State licenses

LicenseStateTypeSpecialty
2086FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1342396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1649525718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 KENT K",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334171721",
            "telephone_number": "561-843-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 FOREST HILL BLVD STE 200",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334066061",
            "telephone_number": "561-904-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNSUR",
        "first_name": "NUAZHA",
        "middle_name": "AZIZAH",
        "name_prefix": "Ms.",
        "credential": "M.S.W., C.A.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-16",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2086",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.