Individual provider Active NPI

Benita Sabina Flores Mana-Ay, M.ED

  • Mental Health Counselor
  • Puyallup, WA
National Provider Identifier
1851413280
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00006461 Issued in WA
Practice address
12515 Meridian E
Suite 204
Puyallup, WA 98373-3436
Phone
(253) 848-2805
Fax
(253) 435-5980
NPI assigned
Apr 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LH00006461 WA Primary

Addresses

Primary practice location

12515 Meridian E
Suite 204
Puyallup, WA 98373-3436

Mailing address

12515 Meridian E
Suite 204
Puyallup, WA 98373-3436
Phone (253) 848-2805

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 Education

State licenses

LicenseStateTypeSpecialty
LH00006461WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851413280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12515 MERIDIAN E",
            "address_2": "SUITE 204",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733436",
            "telephone_number": "253-848-2805",
            "fax_number": "253-435-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12515 MERIDIAN E",
            "address_2": "SUITE 204",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733436",
            "telephone_number": "253-848-2805",
            "fax_number": "253-435-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANA-AY",
        "first_name": "BENITA",
        "middle_name": "SABINA FLORES",
        "name_prefix": "Mrs.",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00006461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.