Active NPI
Alise Manatine
- Counselor
- Rochester, MI
National Provider Identifier
1790484996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6451022724
- Practice address
- 3492 Oakmonte Blvd
Rochester, MI 48306-4789 - Phone
- (586) 907-9516
- NPI assigned
- Feb 27, 2023
- Last updated
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6451022724 | MI | Primary |
Addresses
Primary practice location
3492 Oakmonte Blvd
Rochester, MI 48306-4789
Mailing address
3492 Oakmonte Blvd
Rochester, MI 48306-4789
Phone (586) 907-9516
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 |
|---|---|---|---|
| 6451022724 | MI | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677456000000",
"number": "1790484996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3492 OAKMONTE BLVD",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483064789",
"telephone_number": "586-907-9516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3492 OAKMONTE BLVD",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483064789",
"telephone_number": "586-907-9516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANATINE",
"first_name": "ALISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-27",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6451022724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.