Jennifer Ann Manche, LCSW, LMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3586 Issued in NE

Practice address

8101 O St
Ste 101
Lincoln, NE 68510-2646

Phone

(402) 261-3714

Fax

(888) 959-0716

NPI assigned

Jun 29, 2007

Last updated

May 28, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338163200000",
    "number": "1780881953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6117 S 30TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164617",
            "telephone_number": "785-865-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST",
            "address_2": "STE 101",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102646",
            "telephone_number": "402-261-3714",
            "fax_number": "888-959-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3586",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1330",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97109",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Scott Malzer
• Fatimah Hamad Mam Bakr
• Miranda Mammen, APRN-NP
• Andetzclair Alvarez Manansala
• Amber Manceaux
• Brittany Manchester
• Daric Manchester
• Memory Manda
• Diane Marie Mandina-Morrill, PHD
• Kevin D Mandina

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2012; 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.