Active NPI
Erena Manning, LPCC
- Professional Counselor
- Espanola, NM
National Provider Identifier
1891928370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CCMH0209551
- Practice address
- 1200 N Paseo de Onate
Espanola, NM 87532-2687 - Phone
- (512) 696-8492
- NPI assigned
- Aug 31, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CCMH0209551 | NM | Primary |
Addresses
Primary practice location
1200 N Paseo de Onate
Espanola, NM 87532-2687
Mailing address
76A NM 581
Espanola, NM 87532-9454
Phone (512) 696-8492
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CCMH0209551 | Other | NM | STATE OF NEW MEXICO |
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 |
|---|---|---|---|
| CCMH0209551 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1891928370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76A NM 581",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875329454",
"telephone_number": "512-696-8492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N PASEO DE ONATE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322687",
"telephone_number": "512-696-8492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "ERENA",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "CCMH0209551",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW MEXICO",
"identifier": "CCMH0209551",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Espanola, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.