Stacey Arleen Manley

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

818 Seminole Dr
Suffolk, VA 23434-4131

Phone

(757) 334-0773

Fax

(757) 809-5797

NPI assigned

Mar 31, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Circle of Hope, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Suffolk, VA
  • NPI 1871125435
  NPD Authorized official

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1881272706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SEMINOLE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344131",
            "telephone_number": "757-334-0773",
            "fax_number": "757-809-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SEMINOLE DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234344131",
            "telephone_number": "757-334-0773",
            "fax_number": "757-809-5797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "STACEY",
        "middle_name": "ARLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Suffolk",
            "affiliation": "N",
            "address_1": "818 Seminole Dr",
            "city": "Suffolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234344131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kiran Malik, M.D.
• Pramod Malik, M.D.
• Veronica Mary Malone, NP
• Iva Mananquil, LPTA
• Frank Smith Mancuso, MD
• John Victor Mansoor, M.D.
• Angel Renee Mantay, AGACNP-BC
• Vivian U Mapanao, MD
• Sandrine Laure Deighela Mapokam, FNP-BC
• Shaila Marcano-Stewart, COTA/L

• Mental Health Counselor in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.