Individual provider Active NPI

Anita Rae Manns, NP-C, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1811177819
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704225569 Issued in MI
Practice address
33228 W 12 Mile Rd
Ste 154
Farmington Hills, MI 48334-3309
Phone
(734) 767-0165
Fax
(248) 487-1035
NPI assigned
Nov 7, 2007
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704225569 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704225569 MI Primary

Addresses

Primary practice location

33228 W 12 Mile Rd
Ste 154
Farmington Hills, MI 48334-3309

Mailing address

33228 W 12 Mile Rd Ste 154
Farmington Hills, MI 48334-3309
Phone (734) 767-0165

Other practice location 1

26105 Orchard Lake Rd Ste 208
Farmington Hills, MI 48334-4578
Phone (734) 767-0165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100921000955 MI Practitioner - Nurse Practitioner 9931224417 Reassigns benefits to 2 organizations
I20250204000039 FL Practitioner - Nurse Practitioner 9931224417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Coral Springs, FL 33067
Phone (734) 228-7834

27620 Farmington Rd
Suite 208
Farmington Hills, MI 48334-3368
Phone (313) 443-0946

33228 W 12 Mile Rd
Suite 154
Farmington Hills, MI 48334-3309
Phone (734) 228-7834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704225569MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Manns Consulting Services, LLC Psychiatric/Mental Health CurrentSince Mar 19, 2022 Accepting new patients
Paragon Clinical LLC Nurse Practitioner CurrentSince Mar 21, 2019 Accepting new patients
Paragon Clinical Midwest, LLC Nurse Practitioner Past Accepting new patients

Locations

1385 E Empire Ave
Benton Harbor, MI 49022
Phone (269) 925-0033

27620 Farmington Rd
Ste 208
Farmington Hills, MI 48334
Phone (248) 892-7401

33228 W 12 Mile Rd
Farmington Hills, MI 48334
Phone (313) 832-8008

Interoperability endpoints

  • Direct secure messaging: anita.manns.1@19270.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1811177819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33228 W 12 MILE RD STE 154",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343309",
            "telephone_number": "734-767-0165",
            "fax_number": "248-487-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33228 W 12 MILE RD",
            "address_2": "STE 154",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343309",
            "telephone_number": "734-767-0165",
            "fax_number": "248-487-1035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26105 Orchard Lake Rd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483344578",
            "country_code": "US",
            "telephone_number": "734-767-0165",
            "fax_number": "248-487-1035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNS",
        "first_name": "ANITA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "NP-C, DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-07",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704225569",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704225569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.