Annette Anthonia Manzano, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010652 Issued in VA

Practice address

15 Hope Rd
Stafford, VA 22554-7202

Phone

(540) 659-2725

NPI assigned

Jul 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Resilience Counseling and Social Skills Center LLCGroup PAC ID 4082088570, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Resilience Counseling & Social Skills Center LLC

  • Professional Counselor
  • Midlothian, VA
  • NPI 1245724707
  Medicare reassignment Care Compare group
• Rappahannock Area Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Stafford, VA
  • NPI 1265190649
  NPD
• Rappahannock Area Community Services Board

  • Community/Behavioral Health Agency
  • Fredericksburg, VA
  • NPI 1790742153
  NPD

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1881367480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11413 MACPHERSON CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224072062",
            "telephone_number": "540-642-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 HOPE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225547202",
            "telephone_number": "540-659-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "ANNETTE",
        "middle_name": "ANTHONIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenise Mancini, O.D.
• Diana Mandujano Mendez
• Rebecca M Mani, LCSW
• Tammy Maniscalco, FNP
• Manners Health Services Corporation
• Irma Marcotte
• Elizbeth Marfo
• Mark E. Bryngelson, P.C.
• Rachel Marquez, MD
• Madison Yvonne Marsden

• Professional Counselor in Stafford, VA
• Providers in Stafford, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.