Manifest Wellness Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MANIFEST WELLNESS COUNSELING

Practice address

1905 Arlington Arch Dr
Virginia Beach, VA 23464-8706

Phone

(757) 276-1619

Fax

(757) 794-4812

NPI assigned

Jan 13, 2026

Organization subpart

No

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

Authorized official

Name

Katherine Illgen, LCSWNPI 1174150429

Title

Owner

Phone

(304) 283-0816

Specialties & licenses 1

Addresses

Practitioners 1

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

• Katherine Marie Illgen, LCSW, CCTP

  • Clinical Social Worker
  • Yorktown, VA
  • NPI 1174150429
  NPD Authorized official

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1669330288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 ARLINGTON ARCH DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648706",
            "telephone_number": "757-276-1619",
            "fax_number": "757-794-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 ARLINGTON ARCH DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234648706",
            "telephone_number": "757-276-1619",
            "fax_number": "757-794-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST WELLNESS COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "ILLGEN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-283-0816",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aaron Joseph Mangino, D.C.
• Swarna Manian, MD
• Manifesting Mama - Birth, Lactation and Beyond LLC
• Jo-Marie Rabago Maniwang, D.D.S.
• Camisha Mann
• Joey Manning
• Cindy Albert Manno, RPH

• Clinical Social Worker in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.