NPIMap

Organization Active NPI

Michael McManus Associates PA

  • Mental Health Counselor
  • Destin, FL
National Provider Identifier
1831232180
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW1774 Issued in FL
Legal business name
MICHAEL MCMANUS ASSOCIATES PA
Practice address
4507 Furling LN
Suite 212
Destin, FL 32541-5328
Phone
(850) 830-8340
Fax
(850) 837-0123
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Michael McManus, L.C.S.W.NPI 1487814182
Title
Pres.
Phone
(850) 830-8340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X SW1774 FL Primary

Addresses

Primary practice location

4507 Furling LN
Suite 212
Destin, FL 32541-5328

Mailing address

PO Box 2418
Santa Rosa Beach, FL 32459-2418
Phone (850) 830-8340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081128000030 FL Part B Supplier - Clinic/Group Practice 1254491897 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Rosa Beach, FL; Miramar Beach, FL; Niceville, FL

National Provider Directory

National Provider Directory
Tax ID family
McManus Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4507 Furling Ln
Ste 212
Destin, FL 32541
Phone (850) 226-7100

12598 US Highway 98 W
Unit 201
Miramar Beach, FL 32550
Phone (850) 654-8878

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1831232180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2418",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592418",
            "telephone_number": "850-830-8340",
            "fax_number": "850-837-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4507 FURLING LN",
            "address_2": "SUITE 212",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325415328",
            "telephone_number": "850-830-8340",
            "fax_number": "850-837-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MCMANUS ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MCMANUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "850-830-8340",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW1774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.