Active NPI
Jeanette Manning, CADAC
- Counselor
- Columbus, MS
National Provider Identifier
1851894737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2623 5TH St N
Columbus, MS 39705-2009 - Phone
- (662) 241-7097
- NPI assigned
- Mar 16, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AD18054M | MS |
Addresses
Primary practice location
2623 5TH St N
Columbus, MS 39705-2009
Mailing address
1867 Crane Ridge Dr Ste 150C
Jackson, MS 39216-4982
Phone (769) 251-5550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AD18054M | MS | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1851894737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1867 CRANE RIDGE DR STE 150C",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164982",
"telephone_number": "769-251-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2623 5TH ST N",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052009",
"telephone_number": "662-241-7097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JEANETTE",
"credential": "CADAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MS",
"license": "AD18054M",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.