Elizabeth Mantle, MFT, LPCC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 35631 Issued in CA

Practice address

768 Woodland Way
Grass Valley, CA 95945-7864

Phone

(530) 355-1467

NPI assigned

Feb 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Liz Mantle Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1679805469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2272",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959591945",
            "telephone_number": "530-355-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 WOODLAND WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457864",
            "telephone_number": "530-355-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTLE",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MFT, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 35631",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC 553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZ",
            "last_name": "MANTLE",
            "credential": "MFT, LPCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John A Mallery, MD
• Chase L Malloy
• Sarah L Mancebo
• Rachel Manoguerra
• Aurora Manriquez
• Efstratia Mantzouranis
• Seema S Maple, M.D.
• Sonja C. Marbry
• Thais Marek, FNP
• Kebby Vincent Margaretich, D.C.

• Marriage & Family Therapist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.