Laura M Manassa, MACP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5784 Issued in FL

Practice address

1540 Kingsley Ave
Orange Park, FL 32073-4511

Phone

(904) 239-3677

Fax

(904) 239-3278

NPI assigned

Dec 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Laura Rogers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450137600000",
    "number": "1740645951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54723",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322454723",
            "telephone_number": "904-239-3677",
            "fax_number": "904-239-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 KINGSLEY AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734511",
            "telephone_number": "904-239-3677",
            "fax_number": "904-239-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASSA",
        "first_name": "LAURA",
        "middle_name": "M",
        "credential": "MACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ROGERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Yan G Makeyev, MD
• Shilpa Malik, DO
• Melvin Mallari, L.M.T, P.T.A
• Noelle Brittany Malone
• Julie Tutak Maly, ARNP
• Amanda Nicole Mancino, APRN
• Mandarin Pain Solutions, PLLC
• Hilary Manees, PT, DPT, COMT
• Michael Mangalino
• Angelica Mairim Mangual Ruiz, PSYD

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.