Individual provider Active NPI

Denise Noel Manthey, LMFT

  • Marriage & Family Therapist
  • Lake in the Hills, IL
National Provider Identifier
1700987013
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166-000-539 Issued in IL
Practice address
8411 Pyott Rd
Lake in the Hills, IL 60156-6516
Phone
(847) 204-2545
Fax
(815) 479-0013
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1515552 IL
Marriage & Family Therapist 106H00000X 166-000-539 IL Primary

Addresses

Primary practice location

8411 Pyott Rd
Lake in the Hills, IL 60156-6516

Mailing address

383 Oakmont Dr
Cary, IL 60013-1179
Phone (847) 639-0652

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
1515552ILMDSchool Psychologist
166-000-539ILMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1700987013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 OAKMONT DR",
            "city": "CARY",
            "state": "IL",
            "postal_code": "600131179",
            "telephone_number": "847-639-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 PYOTT RD",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601566516",
            "telephone_number": "847-204-2545",
            "fax_number": "815-479-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHEY",
        "first_name": "DENISE",
        "middle_name": "NOEL",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1515552",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166-000-539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.