Individual provider Active NPI

Christy Janise Manoharan, L.P.C., N.C.C

  • Professional Counselor
  • Huntingdon Valley, PA
National Provider Identifier
1891154985
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC008737 Issued in PA
Practice address
317 Meadowbrook Dr
Huntingdon Valley, PA 19006-6808
Phone
(631) 901-3214
NPI assigned
Feb 17, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC008737 PA Primary

Addresses

Primary practice location

317 Meadowbrook Dr
Huntingdon Valley, PA 19006-6808

Mailing address

317 Meadowbrook Dr
Huntingdon Valley, PA 19006-6808
Phone (631) 901-3214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231208000190 PA Practitioner - Mental Health Counselor 4789033317 Reassigns benefits to 2 organizations
I20250919003866 GA Practitioner - Mental Health Counselor 4789033317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sri Psychological Services PCGroup PAC ID 1456331214, 34 clinicians

Practice addresses (Care Compare)

261 Old York Rd
Suite 318
Jenkintown, PA 19046-3709
Phone (215) 885-3337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sri Psychological Services, PC CurrentSince Jan 1, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Aug 5, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

261 Old York Rd
Ste 318
Jenkintown, PA 19046
Phone (215) 371-3490

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1891154985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MEADOWBROOK DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066808",
            "telephone_number": "631-901-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MEADOWBROOK DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066808",
            "telephone_number": "631-901-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOHARAN",
        "first_name": "CHRISTY",
        "middle_name": "JANISE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.,  N.C.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC008737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.