Jeannie Ashmore Manning, MA, LMHC, CDP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60523785 Issued in WA

Practice address

19110 Bothell Way NE Ste 206
Bothell, WA 98011-2970

Phone

(770) 906-5866

NPI assigned

May 9, 2013

Last updated

Sep 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 29, 2026 through May 29, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1851736318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19928 BOTHELL EVERETT HWY APT 817",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980127194",
            "telephone_number": "770-906-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19110 BOTHELL WAY NE STE 206",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980112970",
            "telephone_number": "770-906-5866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JEANNIE",
        "middle_name": "ASHMORE",
        "credential": "MA, LMHC, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC 60336441",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60523785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043626",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Rae Mallory, CBT
• Ashtin Mancinelli, LMHC
• Manjote Dhaliwal DDS PLLC
• Isaiah James Manley
• Kellie M Mann
• Pavittar Kaur Mansahia
• Jonathan P Manuel
• Kaylee Marie Marcinko, PT, DPT
• Lilla Collingridge Marie, LMHC
• Mariposa Counseling PLLC

• Mental Health Counselor in Bothell, WA
• Providers in Bothell, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.