Active NPI
Ronald Manning
- Counselor
- Breaux Bridge, LA
National Provider Identifier
1740715804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 9720
- Practice address
- 251 Rees St
Breaux Bridge, LA 70517-4611 - Phone
- (337) 442-6823
- NPI assigned
- Apr 26, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 9720 | LA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC | LA | |
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
251 Rees St
Breaux Bridge, LA 70517-4611
Mailing address
251 Rees St
Breaux Bridge, LA 70517-4611
Phone (337) 442-6823
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 |
|---|---|---|---|
| CAC | LA | MD | Addiction (Substance Use Disorder) Counselor |
| 9720 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CWT Behavioral Health | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Lafayette, LA
- NPI 1962134767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1740715804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 REES ST",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705174611",
"telephone_number": "337-442-6823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 REES ST",
"city": "BREAUX BRIDGE",
"state": "LA",
"postal_code": "705174611",
"telephone_number": "337-442-6823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "RONALD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "9720",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "CAC",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Breaux Bridge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.