Individual provider Active NPI

Anne Elizabeth Manning, M.A., LMHC

  • Mental Health Counselor
  • Maynard, MA
National Provider Identifier
1821235607
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
840 Issued in MA
Practice address
9 Pleasant St
Maynard, MA 01754-1331
Phone
(978) 897-2576
Fax
(978) 897-2576
NPI assigned
Jan 15, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 840 MA Primary

Addresses

Primary practice location

9 Pleasant St
Maynard, MA 01754-1331

Mailing address

9 Pleasant St
Maynard, MA 01754-1331
Phone (978) 897-2576

Other names 1

  • Anne Elizabeth Dzerkacz Former name

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1821235607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 PLEASANT ST",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017541331",
            "telephone_number": "978-897-2576",
            "fax_number": "978-897-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 PLEASANT ST",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "017541331",
            "telephone_number": "978-897-2576",
            "fax_number": "978-897-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "M.A., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "DZERKACZ",
            "middle_name": "ELIZABETH",
            "credential": "M.A., LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maynard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.