NPIMap

Organization Active NPI

Jessica Manley

  • Mental Health Counselor
  • Palmetto, FL
National Provider Identifier
1821471434
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12808 Issued in FL
Legal business name
JESSICA MANLEY
Practice address
6710 Ellenton Gillette Rd
Unit 100
Palmetto, FL 34221-8658
Phone
(941) 264-8742
NPI assigned
Jun 30, 2015
Last updated
Jun 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Mrs. Jessica Manley, LMHCNPI 1720543374
Title
Counselor
Phone
(941) 264-8742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH12808 FL Primary

Addresses

Primary practice location

6710 Ellenton Gillette Rd
Unit 100
Palmetto, FL 34221-8658

Mailing address

6710 Ellenton Gillette Rd
Unit 100
Palmetto, FL 34221-8658
Phone (941) 264-8742

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1821471434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 ELLENTON GILLETTE RD",
            "address_2": "UNIT 100",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342218658",
            "telephone_number": "941-264-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 ELLENTON GILLETTE RD",
            "address_2": "UNIT 100",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342218658",
            "telephone_number": "941-264-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA MANLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "19412648742",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.