Active NPI
Michael Manley, LPC-ASSOCIATE
- Professional Counselor
- Burleson, TX
National Provider Identifier
1730968918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 91749
- Practice address
- 225 W Ellison St Ste 113
Burleson, TX 76028-4705 - Phone
- (817) 862-7906
- NPI assigned
- Sep 26, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 91749 | TX | Primary |
Addresses
Primary practice location
225 W Ellison St Ste 113
Burleson, TX 76028-4705
Mailing address
225 W Ellison St Ste 113
Burleson, TX 76028-4705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073736864 | Other | TX | GROUP NPI |
| 1538650742 | Other | TX | LPC-S |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 91749 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1730968918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 W ELLISON ST STE 113",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 W ELLISON ST STE 113",
"city": "BURLESON",
"state": "TX",
"postal_code": "760284705",
"telephone_number": "817-862-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "MICHAEL",
"credential": "LPC-ASSOCIATE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "91749",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1073736864",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC-S",
"identifier": "1538650742",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.