Organization Active NPI

Manz Pastoral Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Dodge, IA
National Provider Identifier
1790259042
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MANZ PASTORAL COUNSELING LLC
Practice address
728 1St Ave N
Fort Dodge, IA 50501-0466
Phone
(515) 227-0334
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Mr. Matthew Manz, LMHCNPI 1447724794
Title
President
Phone
(515) 227-0334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

728 1St Ave N
Fort Dodge, IA 50501-0466

Mailing address

106 Taft St N
Humboldt, IA 50548-1770
Phone (515) 227-0334

National Provider Directory

National Provider Directory

Locations

728 1st Ave N
Fort Dodge, IA 50501
Phone (515) 227-0334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1790259042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 TAFT ST N",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505481770",
            "telephone_number": "515-227-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 1ST AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505010466",
            "telephone_number": "515-227-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZ PASTORAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "MANZ",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-227-0334",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Dodge, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.