Active NPI
Billy D Manning, PHD
- Counselor
- Dodge City, KS
National Provider Identifier
1700872124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LCPC012
- Practice address
- 1715 4TH Avenue
Dodge City, KS 67801-3603 - Phone
- (620) 371-7900
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LCPC012 | KS | Primary |
Addresses
Primary practice location
1715 4TH Avenue
Dodge City, KS 67801-3603
Mailing address
1715 4TH Ave
Dodge City, KS 67801-3603
Phone (620) 371-7900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012 | Other | KS | LCPC |
| 119036 | Other | KS | MEDICARE |
| 7586839901 | Medicaid | KS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC012 | KS | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1700872124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 4TH AVE",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678013603",
"telephone_number": "620-371-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 4TH AVENUE",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678013603",
"telephone_number": "620-371-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "BILLY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "KS",
"license": "LCPC012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCPC",
"identifier": "012",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "119036",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7586839901",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.