Active NPI
Patricia Mann, MS HUMAN SERVICES
- Pastoral Counselor
- Athens, GA
National Provider Identifier
1770985301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- License
- 07116396
- Practice address
- 1060 Gaines School Rd
Suite B3
Athens, GA 30605-3198 - Phone
- (706) 850-5351
- NPI assigned
- Sep 26, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | 07116396 | GA | Primary |
| Counselor | 101Y00000X | APC003729 | GA |
Addresses
Primary practice location
1060 Gaines School Rd
Suite B3
Athens, GA 30605-3198
Mailing address
1060 Gaines School Rd
Suite B3
Athens, GA 30605-3198
Phone (706) 850-5351
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC003729 | GA | MD | Counselor |
| 07116396 | GA | MD | Pastoral Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411689600000",
"number": "1770985301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1060 GAINES SCHOOL RD",
"address_2": "SUITE B3",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053198",
"telephone_number": "706-850-5351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 GAINES SCHOOL RD",
"address_2": "SUITE B3",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053198",
"telephone_number": "706-850-5351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "PATRICIA",
"credential": "MS HUMAN SERVICES",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-26",
"last_updated": "2014-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "GA",
"license": "07116396",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "APC003729",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.