Active NPI
Gloria Jean Manadier-Farr, CSAC
- Addiction (Substance Use Disorder) Counselor
- Madison, WI
National Provider Identifier
1801032156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14351-132
- Practice address
- 1502 Greenway Cross Ste 101B
Madison, WI 53713-5023 - Phone
- (608) 237-6317
- Fax
- (877) 822-7631
- NPI assigned
- Dec 16, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14351-132 | WI | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14351-132 | WI | Primary |
| Mental Health Counselor | 101YM0800X | 14351-132 | WI |
Addresses
Primary practice location
1502 Greenway Cross Ste 101B
Madison, WI 53713-5023
Mailing address
1502 Greenway Cross Ste 101B
Madison, WI 53713-5023
Phone (608) 237-6317
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12809-133 | Other | WI | STATE OF WISCONSIN DEPARTMENT OF REGUALTION AND LICENSING |
| 14351-132 | Other | WI | STATE OF WISCONSIN DEPARTMENT OF REGUALTION AND LICENSING |
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 |
|---|---|---|---|
| 14351-132 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1801032156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 GREENWAY CROSS STE 101B",
"city": "MADISON",
"state": "WI",
"postal_code": "537135023",
"telephone_number": "608-237-6317",
"fax_number": "877-822-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 GREENWAY CROSS STE 101B",
"city": "MADISON",
"state": "WI",
"postal_code": "537135023",
"telephone_number": "608-237-6317",
"fax_number": "877-822-7631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANADIER-FARR",
"first_name": "GLORIA",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-16",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WI",
"license": "14351-132",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "14351-132",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "14351-132",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN DEPARTMENT OF REGUALTION AND LICENSING",
"identifier": "12809-133",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF WISCONSIN DEPARTMENT OF REGUALTION AND LICENSING",
"identifier": "14351-132",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.