Individual provider Active NPI

Trishia Manzo, CCM

  • Case Manager/Care Coordinator
  • Anchorage, AK
National Provider Identifier
1891226833
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
3000 C St
Anchorage, AK 99503-3975
Phone
(907) 729-8558
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

3000 C St
Anchorage, AK 99503-3975

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262
Phone (907) 729-6799

Other practice location 1

2600 Cordova St Ste 101
Anchorage, AK 99503-2745
Phone (907) 279-9640

Other practice location 2

8012 Stewart Mountain Dr
Eagle River, AK 99577-9013
Phone (907) 694-3336

Other practice location 3

2909 Oregon Ct
A1
Torrance, CA 90503-2645
Phone (310) 320-1333

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

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1891226833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071262",
            "telephone_number": "907-729-6799",
            "fax_number": "907-729-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 C ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033975",
            "telephone_number": "907-729-8558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Cordova St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995032745",
            "country_code": "US",
            "telephone_number": "907-279-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8012 Stewart Mountain Dr",
            "address_purpose": "LOCATION",
            "city": "Eagle River",
            "state": "AK",
            "postal_code": "995779013",
            "country_code": "US",
            "telephone_number": "907-694-3336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 Oregon Ct",
            "address_2": "A1",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905032645",
            "country_code": "US",
            "telephone_number": "310-320-1333",
            "fax_number": "310-320-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZO",
        "first_name": "TRISHIA",
        "credential": "CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.