Melissa Anne Manninen, PH.D.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014288 Issued in MI

Practice address

2720 E Lansing Dr
East Lansing, MI 48823-7754

Phone

(517) 337-2900

NPI assigned

May 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Mental Health Counselor

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Psychological Services PCGroup PAC ID 6800805060, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Comprehensive Psychological Services PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1376759639
  Medicare reassignment Care Compare group NPD
• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment NPD
• Comprehensive Psychological Service, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1689211153
  NPD

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1730524661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8026 LOVEJOY RD",
            "city": "PERRY",
            "state": "MI",
            "postal_code": "488728903",
            "telephone_number": "906-231-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 E LANSING DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237754",
            "telephone_number": "517-337-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2127 University Park Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488645928",
            "country_code": "US",
            "telephone_number": "989-494-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNINEN",
        "first_name": "MELISSA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-06",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oktai Mamedov, M.D.
• Katherine Mamo, FNP
• Ramy Mana, PHARMD
• Ryley Paul Mancine, DO
• Joseph Mandwee
• Manual Physical Therapy Specialists, LLC
• Steven Frederick Manuel, D.C
• Li Mao
• Vickie Mara
• Diana Marble, NP

• Counselor in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.