Individual provider Active NPI

Lamanuel Hightower

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1730501495
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH25041 Issued in FL
Practice address
4648 SE Salvatori Rd
Stuart, FL 34997-8271
Phone
(772) 210-4362
Fax
(772) 510-5780
NPI assigned
Jan 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Mental Health Counselor 101YM0800X IMH25041 FL Primary

Addresses

Primary practice location

4648 SE Salvatori Rd
Stuart, FL 34997-8271

Mailing address

6270 Lakepine St
Saint Cloud, FL 34771-8940
Phone (615) 692-9411

Other practice location 1

709 Davidson St
Tullahoma, TN 37388-3607
Phone (931) 393-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409003729 FL Practitioner - Mental Health Counselor 5092153007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Transition House, IncGroup PAC ID 4981858396, 2 clinicians

Practice addresses (Care Compare)

3501 W Vine St
Suite 115
Kissimmee, FL 34741-4644
Phone (407) 610-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH25041FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Transition House, Inc. CurrentSince Feb 29, 2024 Accepting new patients
Life Thrive Solutions LLC Mental Health CurrentSince Mar 31, 2024 Accepting new patients
The Transition House, Inc. Past Accepting new patients

Locations

3501 W Vine St
Ste 115
Kissimmee, FL 34741
Phone (407) 483-3074

3115 Innovation Dr
Saint Cloud, FL 34769
Phone (407) 530-7304

3800 5th St
Saint Cloud, FL 34769

907 SE Central Pkwy
Stuart, FL 34994
Phone (772) 210-4331

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1730501495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6270 LAKEPINE ST",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347718940",
            "telephone_number": "615-692-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4648 SE SALVATORI RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978271",
            "telephone_number": "772-210-4362",
            "fax_number": "772-510-5780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Davidson St",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373883607",
            "country_code": "US",
            "telephone_number": "931-393-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGHTOWER",
        "first_name": "LAMANUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.