Individual provider Active NPI

David Everett Mank, LCPC

  • Professional Counselor
  • Severna Park, MD
National Provider Identifier
1902329865
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6973 Issued in MD
Practice address
2 Evergreen Rd Ste 200
Severna Park, MD 21146-3802
Phone
(443) 889-5144
NPI assigned
Jul 24, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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 LC6973 MD Primary

Addresses

Primary practice location

2 Evergreen Rd Ste 200
Severna Park, MD 21146-3802

Mailing address

343 Gatewater CT Apt 102
Glen Burnie, MD 21060-7152
Phone (443) 889-5144

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

LicenseStateTypeSpecialty
LC6973MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1902329865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 GATEWATER CT APT 102",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210607152",
            "telephone_number": "443-889-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EVERGREEN RD STE 200",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211463802",
            "telephone_number": "443-889-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANK",
        "first_name": "DAVID",
        "middle_name": "EVERETT",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; 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.