Jacqueline Ann Manley, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

203440 Issued in TX

Practice address

9800 Hillwood Pkwy Ste 140
Ft Worth, TX 76177-1532

Phone

(619) 818-6516

NPI assigned

May 10, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1801452396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10016 SHELBURNE RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448524",
            "telephone_number": "619-818-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 HILLWOOD PKWY STE 140",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761771532",
            "telephone_number": "619-818-6516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10016 Shelburne Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762448524",
            "country_code": "US",
            "telephone_number": "619-818-6516 x61981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "103200",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basem Mankerious, PT, DPT
• Moody Mankerious, DPM
• Laurie Mankin, RD,LD
• Natasha Mankins, PHARMD
• Ginny M Manley, LPC-S
• George Manlongat, MD
• Christopher M Mann, MD
• Christopher R Mann, DO
• Kimberly Mann
• Murali K Manne, MD

• Marriage & Family Therapist in Ft Worth, TX
• Providers in Ft Worth, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.