Anne Mandera

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

545 W Umpqua St
Roseburg, OR 97471-2979

Phone

(541) 900-1506

NPI assigned

May 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1649853995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W UMPQUA ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712979",
            "telephone_number": "541-900-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W UMPQUA ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712979",
            "telephone_number": "541-900-1506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDERA",
        "first_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fadi Elias Malak, DPM
• David Christopher Maloney, OT
• Megan Elizabeth Malpass, DMD
• Bruce Reid Manchester, C.R.N.A.
• Ainulmutara Mancini, RPH
• Mirranda Renee Mandera, CHW
• Jamie Maneha, LMT
• Michael Mankins
• Adam Mankowski, MD
• Autumn Faye Mann

• Mental Health Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.