Active NPI
Bryan Manion, Life Coach
- Mental Health Counselor
- Champaign, IL
National Provider Identifier
1912266297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 180.006836
- Legal business name
- BRYAN MANION, LIFE COACH
- Practice address
- 206 N Randolph St
Champaign, IL 61820-3949 - Phone
- (217) 474-8455
- NPI assigned
- May 8, 2012
- Last updated
- May 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bryan Myles Manion
- Title
- Owner
- Phone
- (217) 474-8455
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 180.006836 | IL | Primary |
| Professional Counselor | 101YP2500X | 180.006836 | IL |
Addresses
Primary practice location
206 N Randolph St
Champaign, IL 61820-3949
Mailing address
PO Box 934
Champaign, IL 61824-0934
Phone (217) 474-8455
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Champaign, IL
- NPI 1942323282
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336435200000",
"number": "1912266297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 934",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618240934",
"telephone_number": "217-474-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N RANDOLPH ST",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618203949",
"telephone_number": "217-474-8455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRYAN MANION, LIFE COACH",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-08",
"last_updated": "2012-05-08",
"status": "A",
"authorized_official_last_name": "MANION",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "MYLES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "217-474-8455",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "180.006836",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.006836",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champaign, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.