Matthew Manley, MA. LAC. LPC-MH.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC-MH30723 Issued in SD

Practice address

906 W 5TH St
Canton, SD 57013-1532

Phone

(715) 572-5476

NPI assigned

Oct 18, 2023

Last updated

Oct 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1831971365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 W 5TH ST",
            "city": "CANTON",
            "state": "SD",
            "postal_code": "570131532",
            "telephone_number": "715-572-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "MATTHEW",
        "credential": "MA. LAC. LPC-MH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "19091832",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH30723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Johnson, DO
• Karen Marie Knudsen, FNP - C
• Chad S Lewison, DDS
• Kaidense W Lutz, CNA
• Anna Amelia Manley, LAC
• Jane C Mutschelknaus, A.R.N.P.
• Amy M Olderbak, OT
• Robert Ronald Perkinson, PH.D.
• Leah Marcella Peterson, P.T.
• Alyssa L Ploen, RN

• Mental Health Counselor in Canton, SD
• Providers in Canton, SD by specialty
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.